Individual
MATTHEW A KOHLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
990 W ANN ARBOR TRL, SUITE 208, PLYMOUTH, MI 48170-6204
(734) 398-7800
(734) 455-5219
Mailing address
990 W ANN ARBOR TRL, SUITE 208, PLYMOUTH, MI 48170-6204
(734) 398-7800
(734) 455-5219
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301100920
MI
208000000X
Pediatrics Physician
4301100920
MI
Other
Enumeration date
06/07/2012
Last updated
12/27/2016
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