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NPI Code Detail

MEDICARE: KAREN J KOWALCZYK H.I.D

MEDICARE: KAREN J KOWALCZYK H.I.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237700000XHearing Instrument Specialist2739MN

General Provider Information

NPI Number : 1932535358
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN J KOWALCZYK H.I.D
Provider Business Mailing Address
First Line : 1802 GALLOWAY ST
Second Line :
City : EAU CLAIRE
State : WI
Zip : 54703-3467
Country : US
Telephone Number : 715-831-8966
Fax Number : 715-831-8968
Provider Business Practice Location Address
First Line : 1301 MILLER TRUNK HWY STE 500
Second Line :
City : DULUTH
State : MN
Zip : 55811-5644
Country : US
Telephone Number : 218-720-3787
Fax Number : 218-722-4003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2013
Last Update Date : 09/17/2013

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