Individual
JON C KOLSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD PC
Contact information
Practice address
630 3RD AVE S, GLASGOW, MT 59230-2407
(406) 228-8641
(406) 228-2094
Mailing address
630 3RD AVE S, GLASGOW, MT 59230-2407
(406) 228-8641
(406) 228-2094
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
616
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000480012
—
MT
05
—
0000482647
—
MT
05
—
0000483565
—
MT
Enumeration date
01/04/2007
Last updated
04/15/2014
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