Individual
MICHAEL R TOWARNICKY
Active
Individual
MICHAEL R TOWARNICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3598
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211019D
MEDICARE PTAN
NC
05
—
7983651
—
NC
01
—
83651
BLUE CROSS
NC
Enumeration date
08/30/2005
Last updated
03/17/2017
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