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Individual

DR. PATRICIA KOLODZIEJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
350 LAFAYETTE AVE SE, 4TH FLOOR, GRAND RAPIDS, MI 49503-4656
(616) 456-8515
(616) 233-1108
Mailing address
3565 MOMENTUM PL, CHICAGO, IL 60689-5335
(616) 456-8515
(616) 233-1108

Taxonomy

Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
4301056334
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4085196
MI
Enumeration date
07/20/2005
Last updated
03/21/2014
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