Individual
DR. LUIZ MAURICIO KOLANKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
215 N MAIN ST, WHITE RIVER JUNCTION, VT 05009-1538
(802) 295-9363
Mailing address
215 N MAIN ST, WHITE RIVER JUNCTION, VT 05009-0001
(802) 295-9363
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
0101248493
VA
207RN0300X
Nephrology Physician
23096
NH
207RN0300X
Nephrology Physician
Primary
262974
NY
207RN0300X
Nephrology Physician
MD13489
RI
Other
Enumeration date
10/01/2010
Last updated
06/23/2023
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