Matt Kowal

NPI #1598901126 in Minnetrista, Minnesota

Provider Information

NPI Number: 1598901126
Entity Type: Individual
Name: Matt Kowal
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Jan 3, 2009
Last Updated: Jan 3, 2009

Practice Location

Address: 6085 SUNNYFIELD RD E
City: Minnetrista
State: Minnesota
ZIP Code: 55364-8254
Phone: (612) 227-3199

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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