Individual
MICHELLE MARIE KOLASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
119 MAPLE ST, SPRINGPORT, MI 49284-9505
(269) 719-9680
Mailing address
119 MAPLE ST, SPRINGPORT, MI 49284-9505
(269) 719-9680
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704239656
MI
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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