IndividualActive
Timothy Kowaleski, DO
NPI 1083093272 · Addiction Medicine (Internal Medicine) Physician · Fort Wayne, IN
Provider details
- NPI number
- 1083093272
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 02004981A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1720 Beacon St
Fort Wayne, IN 46805-4749
Phone: (260) 373-8000
Fax: (260) 373-8034
Approximate (ZIP-level) locationGet directions
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Registry dates
- Enumerated
- 2015-05-21
- Last updated
- 2022-10-10
- Certified
- 2022-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.