Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD 41960 | IA |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | MD 41960 | IA |
NPI | 1386809374 |
---|---|
Provider Name | Heather Renee Kowalski |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2008 |
Last Update Date | 23/03/2015 |