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NPI Code Detail

MEDICARE: KEVIN D MARKOWSKI M.D.

MEDICARE:   KEVIN D MARKOWSKI  M.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
1207P00000XEmergency Medicine Physician35067058OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992797807
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN D MARKOWSKI M.D.
Provider Business Mailing Address
First Line : 4535 DRESSLER RD NW
Second Line :
City : CANTON
State : OH
Zip : 44718-2545
Country : US
Telephone Number : 330-493-4443
Fax Number :
Provider Business Practice Location Address
First Line : 195 WADSWORTH RD
Second Line :
City : WADSWORTH
State : OH
Zip : 44281-9504
Country : US
Telephone Number : 330-334-2990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2005
Last Update Date : 05/08/2008

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