Individual
JOHN JAMES KOWALCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
20A6818
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX68180
—
CA
01
—
340018768
MEDICARE RR
—
Enumeration date
09/09/2005
Last updated
11/22/2022
Update your record
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