Healthcare Provider Details

I. General information

NPI: 1487975918
Provider Name (Legal Business Name): JOSEPH THOMAS KOWALSKI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2010
Last Update Date: 02/12/2021
Certification Date: 02/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

IV. Provider business mailing address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

V. Phone/Fax

Practice location:
  • Phone: 319-678-8417
  • Fax: 319-356-3324
Mailing address:
  • Phone: 319-678-8417
  • Fax: 319-356-3324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License NumberMD-41846
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: