Individual
HEIDI L KOLBERG
Active
Individual
HEIDI L KOLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD033475E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012244740006
—
PA
01
—
0122447402
AMERICHOICE
PA
01
—
0447437000
KEYSTONE HEALTHPLAN EAST
PA
01
—
2706298
AETNA
PA
01
—
618468
BLUE SHIELD PA
PA
Enumeration date
10/25/2006
Last updated
10/04/2007
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