Provider Demographics
NPI:1528045523
Name:SOWINSKI, KAZIMIERZ M (MD)
Entity Type:Individual
Prefix:DR
First Name:KAZIMIERZ
Middle Name:M
Last Name:SOWINSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:105 MCDONALD ST
Mailing Address - Street 2:
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060-3420
Mailing Address - Country:US
Mailing Address - Phone:540-552-5545
Mailing Address - Fax:540-552-5545
Practice Address - Street 1:105 MCDONALD ST
Practice Address - Street 2:
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060-3420
Practice Address - Country:US
Practice Address - Phone:540-552-5545
Practice Address - Fax:540-552-5545
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101028568207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine