Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY B KOWALESKI, DO
ActiveTIMOTHY B KOWALESKI, DO is a Addiction Medicine (Internal Medicine) healthcare provider located in FORT WAYNE, Indiana. NPI 1083093272 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Internal Medicine) · FORT WAYNE, IN
Registration Details
- NPI Number
- 1083093272
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 21, 2015 (11.269230482553 yrs)
- Last Updated
- Oct 10, 2022
- Licenses
-
02004981A (IN)02004981A (IN)
Practice Information
- Address
-
1720 BEACON STFORT WAYNE, IN, 468054749Browse IN providers · Browse ZIP 46805
- Phone
- 2603738000
- Fax
- 2603738034
- Primary Specialty
-
Addiction Medicine (Internal Medicine)
207RA0401X
- Additional Specialty
- Addiction Medicine (Internal Medicine)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.