IndividualActive
Brian Konowalchuk
NPI 1104939453 · Occupational Medicine Physician · Manitowoc, WI
Provider details
- NPI number
- 1104939453
- Entity type
- Individual
- Primary specialty
- Occupational Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 49755 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3509 Dewey St
Manitowoc, WI 54220-5497
Phone: (920) 686-5732
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 735044
Chicago, IL 60673-5044
Registry dates
- Enumerated
- 2006-08-17
- Last updated
- 2023-10-23
- Certified
- 2023-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.