Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRYAN S MICHALOWICZ, DDS, MS
ActiveDR. BRYAN S MICHALOWICZ, DDS, MS is a Periodontology healthcare provider located in ST. PAUL, Minnesota. NPI 1306909023 is currently active in the NPPES registry. Verify at CMS.
Periodontology · ST. PAUL, MN
Registration Details
- NPI Number
- 1306909023
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 18, 2006 (19.691343231098 yrs)
- Last Updated
- Jan 5, 2015
- License
-
10028 (MN)
Practice Information
- Address
-
2500 COMO AVENUEST. PAUL, MN, 551081460Browse MN providers · Browse ZIP 55108
- Phone
- 6514292299
- Fax
- 6514296630
- Primary Specialty
-
Periodontology
1223P0300X
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.