Individual
ALEX MICHAEL KOLASCZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
360 W HUBBARD ST APT 1203, CHICAGO, IL 60654
(810) 300-4688
Mailing address
360 W HUBBARD ST APT 1203, CHICAGO, IL 60654-5748
(810) 300-4688
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704281122
MI
Other
Enumeration date
05/07/2015
Last updated
02/11/2019
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