Kowynia, Peter D

Kowynia, Peter D is an individual health care provider with primary practice located at 43211 Dalcoma Ste 7, Clinton Twp MI 48038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kowynia, Peter D can be contacted via phone (586) 286-8800.

Contact Information

Primary practice address
43211 Dalcoma Ste 7 Clinton Twp MI 48038
Phone: (586) 286-8800
Fax: (586) 286-8068
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301051240 Michigan

Profile Details

NPI number 1851301352
LBN Legal business name Kowynia, Peter D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851301352 NPPES
Other 104187 GREAT LAKES
Other 2938 GREAT LAKES
Other 102451 GREAT LAKES
MEDICAID 102873117 GREAT LAKES
Other 020502600 GREAT LAKES
Other C3404 GREAT LAKES
Other 4540079 GREAT LAKES

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