Individual
NECOLE MARIE KOLIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101018603
MI
390200000X
Student in an Organized Health Care Education/Training Program
5101018603
MI
Other
Enumeration date
06/02/2010
Last updated
10/16/2014
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