Individual
DR. JEFFREY ALAN KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
839 N WISCONSIN ST, ELKHORN, WI 53121-4541
(262) 741-1400
(262) 741-1401
Mailing address
839 N WISCONSIN ST, ELKHORN, WI 53121-4541
(262) 741-1400
(262) 741-1401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
54448-20
WI
207Q00000X
Family Medicine Physician
A117482
CA
Other
Enumeration date
04/01/2008
Last updated
07/09/2013
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