Individual
GARY F KOLARIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
232 W 25TH ST, REHAB DEPT, ERIE, PA 16544-0002
(814) 452-5579
(814) 452-5099
Mailing address
2501 W 12TH ST, #614, ERIE, PA 16505-4527
(814) 452-5579
(814) 452-5099
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS007178L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019550200001
—
PA
Enumeration date
10/17/2006
Last updated
02/28/2011
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