Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | MD435837 | PA |
NPI | 1366685653 |
---|---|
Provider Name | Dr. Marek Kurowski |
First Address | Lock Haven, PA 17745-2600 |
Second Address | Lock Haven, PA 17745-2639 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2009 |
Last Update Date | 20/01/2018 |