Dr. Walter Gregory Korytowsky
Dermatologist
3333 Spring Arbor Rd Suite 400
Jackson
, Michigan 49203-8605
Dr. Walter Gregory Korytowsky
Dermatologist
3333 Spring Arbor Rd Suite 400
Jackson
, Michigan 49203-8605
(517) 783-6347
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Walter Gregory Korytowsky
- 3333 Spring Arbor Rd Suite 400
- Jackson, MI
- Zip : 49203-8605
- Fax : (517) 783-6347
- Phone : (517) 783-6435
Second Address
- Dr. Walter Gregory Korytowsky
- 3333 Spring Arbor Rd Suite 400
- Jackson, MI
- Zip : 49203-8605
- Fax : (517) 783-6347
- Phone : (517) 783-6435
Reviews
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Is Dr. Walter Gregory Korytowsky a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 4301040841 | MI |
National Provider Identifier
| NPI | 1043325632 |
|---|---|
| Provider Name | Dr. Walter Gregory Korytowsky |
| First Address | Jackson, MI 49203-8605 |
| Second Address | Jackson, MI 49203-8605 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/08/2006 |
| Last Update Date | 11/10/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0320049 | PHP MICHIGAN (01) | MI |
| 0703800982 | BLUE CROSS BLUE SHIELD MI (01) | MI |
| 1570689 | (05) | MI |
| 4301040841 | MEDICAL LICENSE NUMBER (01) | MA |
| B45991 | (02) | MI |
| P58275 | BLUE CHOICE/CARE NETWORK (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.