Provider Demographics
NPI:1568671055
Name:KLONOWSKI, PAUL W (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:W
Last Name:KLONOWSKI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9,3535 RESEARCH ROAD NW
Mailing Address - Street 2:DIAGNOSTIC AND SCIENTIFIC CENTRE
Mailing Address - City:CALGARY
Mailing Address - State:AB
Mailing Address - Zip Code:T2L 2K8
Mailing Address - Country:CA
Mailing Address - Phone:403-770-3430
Mailing Address - Fax:403-770-3292
Practice Address - Street 1:9,3535 RESEARCH ROAD NW
Practice Address - Street 2:DIAGNOSTIC AND SCIENTIFIC CENTRE
Practice Address - City:CALGARY
Practice Address - State:AB
Practice Address - Zip Code:T2L 2K8
Practice Address - Country:CA
Practice Address - Phone:403-770-3430
Practice Address - Fax:403-770-3292
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2006022068207ZP0102X
ZZ018523207ZP0102X
WAFE 60165347207ZP0101X
MO2010003224207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology