Individual
MICHAEL KOWALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1830 E MONUMENT STREET RM 416, BALTIMORE, MD 21264-2149
(410) 955-5268
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C03648
MD
363A00000X
Physician Assistant
PA030527
DC
Other
Enumeration date
04/15/2008
Last updated
07/21/2023
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