Individual
DR. BRYAN KOWALKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4300 MARKET PTE DR STE 100, BLOOMINGTON, MN 55435-5435
(952) 767-4574
Mailing address
205 N EAST AVE, JACKSON, MI 49201-1753
(815) 990-3304
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5151014841
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2021
Last updated
12/04/2024
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