IndividualActive
Bryan Michalowicz, DDS, MS
NPI 1306909023 · Periodontics · St. Paul, MN
Provider details
- NPI number
- 1306909023
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS, MS
- Sex
- Male
- Sole proprietor
- No
- License
- 10028 (MN)
Specialties & taxonomies
Dental Providers
Practice location
2500 Como Avenue
St. Paul, MN 55108-1460
Phone: (651) 429-2299
Fax: (651) 429-6630
Approximate (ZIP-level) locationGet directions
Mailing address
2500 Como Avenue
St. Paul, MN 55108-1460
Registry dates
- Enumerated
- 2006-12-18
- Last updated
- 2015-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.