Dr Michael Vincent Kowal, DO | |
3801 Spring Street, Racine, WI 53405 | |
(262) 687-4011 | |
Not Available |
Full Name | Dr Michael Vincent Kowal |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 3801 Spring Street, Racine, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043530025 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 61558-21 (Wisconsin) | Primary |
Entity Name | Mercy Health System Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Vincent Kowal, DO 474 N Lake Shore Dr, Unit 2311, Chicago, IL 60611-3400 Ph: (847) 204-0690 | Dr Michael Vincent Kowal, DO 3801 Spring Street, Racine, WI 53405 Ph: (262) 687-4011 |
Dr. Andrew Thomas Konicek, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring Street, Racine, WI 53403 Phone: 262-687-4011 | |
Dr. Jeffrey M Vanbendegom, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Racine, WI 53405 Phone: 262-687-4479 Fax: 262-687-5375 | |
Brian Michael Ames, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3805b Spring St, Ste 230, Racine, WI 53405 Phone: 262-631-8740 | |
Dr. Antoinette Marie Zell, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2405 Northwestern Ave, Suite #115, Racine, WI 53404 Phone: 262-637-9438 Fax: 262-637-8947 |