Individual
CRAIG VANDER KOLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10755 FALLS RD, LUTHERVILLE, MD 21093-4515
(410) 955-6897
Mailing address
PO BOX 64165, BALTIMORE, MD 21264-4165
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
D35172
MD
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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