Individual
ILAN D. KOLKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
214 S RANDALL AVE, MADISON, WI 53715-1544
(650) 906-8289
Mailing address
214 S RANDALL AVE, MADISON, WI 53715-1544
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
71357-20
WI
208600000X
Surgery Physician
125.070938
IL
Other
Enumeration date
06/15/2017
Last updated
07/06/2021
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