Individual
JOHN KOLAR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
416 S CREYTS RD, SUITE B, LANSING, MI 48917-8290
(517) 327-0966
(517) 327-0986
Mailing address
416 S CREYTS RD, SUITE B, LANSING, MI 48917-8290
(517) 327-0966
(517) 327-0986
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
JK010409
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B35703
BCBS OF MICHIGAN
MI
01
—
P25179F
BLUE CARE NETWORK MI
MI
Enumeration date
08/09/2005
Last updated
07/08/2007
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