Individual
PETER D KOWYNIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
43211 DALCOMA, STE 7, CLINTON TWP, MI 48038
(586) 286-8800
(586) 286-8068
Mailing address
43211 DALCOMA, STE 7, CLINTON TWP, MI 48038
(586) 286-8800
(586) 286-8068
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301051240
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020502600
BCBS
MI
01
—
102451
CARE CHOICES
—
05
—
102873117
—
MI
01
—
104187
GREAT LAKES
—
01
—
2938
CAPE
—
01
—
4540079
AETNA
MI
01
—
C3404
MCARE
—
Enumeration date
08/08/2006
Last updated
07/08/2007
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