Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brian K Konowalchuk

Individual provider Occupational Medicine Physician · NPI 1104939453

Brian K Konowalchuk is a Preventive Medicine in Manitowoc, Wisconsin. Graduated from University of Minnesota Medical School in 2000, 26 years ago. Accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
26
Trained at
University of Minnesota Medical School
Licensed in
WI
In the registry since
2006

Practice location Address checks out

3509 Dewey St
Manitowoc, WI 54220-5497
Phone: (920) 686-5732
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Medicine Physician (primary) Taxonomy 2083X0100X · Licence 49755 (WI)

Record details

NPI number1104939453
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 17, 2006
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPREVENTIVE MEDICINE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Manitowoc