Individual
DR. DAVID A. KOLDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 HINCKLEY BLVD, JACKSON, MI 49203-6152
(517) 205-8991
Mailing address
400 HINCKLEY BLVD, JACKSON, MI 49203-6152
(517) 205-8991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00041437
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407852403
—
WA
01
—
P01410335
RR MEDICARE
WA
Enumeration date
06/23/2005
Last updated
02/23/2021
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