Search › North Carolina › 207RC0000X
Glen Kowalchuk, MD
NPI 1184636532 · on the registry since 2006
Practice
- Address
- 9625 Northcross Center Ct
Ste 102
Huntersville, NC 28078 - Phone
- (704) 403-2860
- Organisation at this address
- Cmc-Northeast, Inc.
Cmc-Northeast, Inc.
Cmc-Northeast, Inc.
Cmc-Northeast, Inc.
South Lake PediatricsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 15
Additional practice sites
- 447 Mcalister Rd, Lincolnton, NC
- 1237 Harding Pl, Charlotte, NC
- 101 E W T Harris Blvd, Charlotte, NC
- 134 Medical Park Rd, Mooresville, NC
Registry record
- Primary taxonomy
- 207RC0000X
207RC0000X
- Also registered as
- 207R00000X
207RI0011X - Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina