Individual
DR. MICHAEL JOHN TOLKACZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2000
Mailing address
24241 KINGS POINTE, NOVI, MI 48375-2709
(248) 462-1678
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4351044713
MI
2086X0206X
Surgical Oncology Physician
Primary
CLP06776
RI
Other
Enumeration date
05/23/2019
Last updated
07/08/2025
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