Individual
KSENIA KOLTUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-5000
Mailing address
3810 CARRIAGE RD, BLOOMFIELD HILLS, MI 48301-1900
(847) 208-8818
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
31106
OK
207L00000X
Anesthesiology Physician
4301098662
MI
207L00000X
Anesthesiology Physician
Primary
4301503468
MI
Other
Enumeration date
06/11/2011
Last updated
03/18/2023
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