Individual
MICHAEL BENJAMIN KOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 E 5TH AVE, ANTIGO, WI 54409-2710
(715) 623-9449
Mailing address
112 E 5TH AVE, ANTIGO, WI 54409-2710
(715) 623-9449
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17382-024
WI
225100000X
Physical Therapist
CP046740T
IA
Other
Enumeration date
07/19/2025
Last updated
10/30/2025
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