Individual
MARK KOLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
70 S CLEVELAND AVE, WESTERVILLE, OH 43081-1397
(614) 618-8897
Mailing address
70 S CLEVELAND AVE, WESTERVILLE, OH 43081-1397
(614) 618-8897
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34.012523
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39
39
OH
Enumeration date
07/07/2015
Last updated
11/19/2021
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