NPI 1104939453

Brian K Konowalchuk

Practitioner Occupational Medicine Physician Manitowoc, WI

Practice location

Address: 3509 Dewey St, Manitowoc, WI 54220-5497
Phone: (920) 686-5732
Mailing address: PO Box 735044, Chicago, IL 60673-5044

Registered specialties

Occupational Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence 49755 (WI)

Other Preventive Medicine providers in Wisconsin →

Registry record

NPI: 1104939453
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Aug 2006
Record last updated: 23 Oct 2023

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.