Individual
MICHAEL C KOLCZUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(800) 223-2273
Mailing address
6000 W CREEK RD, SUITE 10, INDEPENDENCE, OH 44131-2139
(800) 223-2273
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35031164K
OH
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
35.031164
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0667210
—
OH
Enumeration date
04/19/2006
Last updated
06/18/2024
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