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Organization

CAPITAL INTERNAL MEDICINE ASSOCIATES P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL CASMIR KOWALCZYK D.O. (PRESIDENT)
(517) 374-7600
Entity
Organization

Contact information

Practice address
3955 PATIENT CARE WAY, SUITE A, LANSING, MI 48911-4299
(517) 374-7600
(517) 374-9042
Mailing address
3955 PATIENT CARE WAY, SUITE A, LANSING, MI 48911-4299
(517) 374-7600
(517) 374-9042

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary
207RC0000X
Cardiovascular Disease Physician
207RI0200X
Infectious Disease Physician
207VG0400X
Gynecology Physician
207VX0000X
Obstetrics Physician
2084N0400X
Neurology Physician
2085N0904X
Nuclear Radiology Physician
2085R0202X
Diagnostic Radiology Physician
2085U0001X
Diagnostic Ultrasound Physician
208600000X
Surgery Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0C36084
BCBS PIN 0C36084
MI
Enumeration date
06/20/2006
Last updated
04/08/2024
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