Individual
DR. PETER FRANK KWIATKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3803 ROBERT PORCHER WAY, GREENSBORO, NC 27410-2191
(336) 286-3442
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26116
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4097807
AETNA
NC
01
—
50487
BCBS NC
NC
01
—
605
PARTNERS MEDICARE
NC
05
—
8950487
—
NC
01
—
98757
MEDCOST
NC
Enumeration date
04/13/2006
Last updated
12/03/2012
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