Healthcare Provider Details

I. General information

NPI: 1932123882
Provider Name (Legal Business Name): JOHN KARWOWSKI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JAN KARWOWSKI M.D.

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WYOMING ST STE 4130
DAYTON OH
45409-2722
US

IV. Provider business mailing address

PO BOX 64226
BALTIMORE MD
21264-4226
US

V. Phone/Fax

Practice location:
  • Phone: 937-438-8640
  • Fax: 937-438-7251
Mailing address:
  • Phone: 667-214-1720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberME116901
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberD84011
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: