Individual
DR. GAYLEEN KOLACZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
265 N MAIN ST, MUNROE FALLS, OH 44262
(330) 686-3038
(330) 686-2530
Mailing address
265 N MAIN ST, MUNROE FALLS, OH 44262
(330) 686-3038
(330) 686-2530
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35049229
OH
207RG0100X
Gastroenterology Physician
Primary
35049229
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0640953
—
OH
Enumeration date
10/05/2006
Last updated
12/12/2007
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