Individual
JOSEPH CHARLES KOLARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301051651
MI
207RG0100X
Gastroenterology Physician
28528
MN
207RG0100X
Gastroenterology Physician
Primary
4301051651
MI
207RI0008X
Hepatology Physician
4301051651
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100012737
RAILROAD MEDICARE
MN
05
—
35169200
—
WI
05
—
887526000
—
MN
05
—
ENROLLED
—
IA
Enumeration date
02/07/2006
Last updated
05/20/2020
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