Individual
DOMINIK ADAM KOWALCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 355-1411
Mailing address
7152 BELL ST, SCHERERVILLE, IN 46375-3528
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01096390A
IN
207P00000X
Emergency Medicine Physician
11022226A
IN
Other
Enumeration date
04/11/2022
Last updated
04/29/2025
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