Individual
DR. CHAD KOTLARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.M.D.
Contact information
Practice address
413 WAUKAZOO AVE, PETOSKEY, MI 49770-2619
(231) 487-9462
Mailing address
2214 BIRCH VIEW DR, KEWADIN, MI 49648-9202
(231) 487-9462
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
099-0000056
VT
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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