Individual
DR. DANIEL W KOWALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
202 CULLENS ST NW, YELM, WA 98597-9417
(360) 400-4800
(360) 400-4821
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(253) 681-6626
(360) 330-9560
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00043293
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1060490
—
WA
05
—
60139269
—
NM
01
—
MD00043293
LICENSE
WA
Enumeration date
06/21/2007
Last updated
12/08/2023
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