NPI 1104379452

Christopher Kowalski, OD

Practitioner Optometrist Burton, MI

Practice location

Address: 1235 S Center Rd Suite 16, Burton, MI 48509-1700
Phone: (810) 744-1950

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 4901005000 (MI)

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Registry record

NPI: 1104379452
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Aug 2016
Record last updated: 3 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.