Individual
MICHAL KOLDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 N 1ST ST, SPRINGFIELD, IL 62702
(217) 528-7541
Mailing address
800 N 1ST ST, SPRINGFIELD, IL 62702
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361087779
—
IL
Enumeration date
07/31/2006
Last updated
07/08/2007
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