Individual
MRS. CAROL R KOLLARITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3509 BRIARFIELD BLVD, MAUMEE, OH 43537
(419) 865-3866
(419) 865-3451
Mailing address
3509 BRIARFIELD BLVD, MAUMEE, OH 43537-9383
(419) 865-3866
(419) 865-3451
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35032573
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0208377
—
OH
01
—
180010719
RAILROAD MEDICARE
OH
Enumeration date
05/19/2006
Last updated
08/15/2018
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