Individual
DR. JOEL DAVID KOLMODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ESSENTIA HEALTH DULUTH CLINIC, 400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
3166 WASHINGTON BLVD, CLEVELAND HEIGHTS, OH 44118-2418
(616) 405-7040
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
35.128965
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2010
Last updated
03/17/2018
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