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Individual

MICHAEL BOLLAERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
525 VALLEY VIEW DR, MOLINE, IL 61265-6138
(309) 762-9869
(309) 762-2313
Mailing address
525 VALLEY VIEW DR, MOLINE, IL 61265-6138
(309) 762-9869
(309) 762-2313

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.131260
IL
390200000X
Student in an Organized Health Care Education/Training Program
125058662
IL

Other

Enumeration date
06/17/2010
Last updated
07/09/2013
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