Individual
GREGORY MATHEW KOLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS ED
Contact information
Practice address
115 E WALDO BLVD, MANITOWOC, WI 54220
(920) 682-6087
Mailing address
4555 W SCHROEDER DRIVE, SUITE 170, MILWAUKEE, WI 53223
(414) 365-3210
(414) 365-3225
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40969400
—
WI
Enumeration date
10/02/2006
Last updated
03/24/2008
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