Individual
DR. JAMES KOLSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2140 W SAINT PAUL AVE STE A, WAUKESHA, WI 53188-5905
(262) 547-2827
Mailing address
2140 W SAINT PAUL AVE STE A, WAUKESHA, WI 53188-5905
(262) 547-2827
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1001113-15
WI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1001113-15
WI
Other
Enumeration date
10/26/2015
Last updated
10/06/2020
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