Individual
AUSTIN MARCOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
370 120TH AVE STE 20, HOLLAND, MI 49424-2196
(616) 396-5855
Mailing address
370 120TH AVE STE 20, HOLLAND, MI 49424-2196
(616) 396-5855
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.072538
IL
208100000X
Physical Medicine & Rehabilitation Physician
BP10066768
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
20034
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
5101027616
MI
Other
Enumeration date
04/03/2018
Last updated
09/09/2024
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