Individual
CAROL KOLESAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
(734) 712-6573
Mailing address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
(734) 712-6573
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704159480
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10-4489114
—
MI
05
—
10-4489123
—
MI
05
—
10-4489132
—
MI
05
—
10-4489141
—
MI
05
—
10-4489150
—
MI
Enumeration date
01/05/2006
Last updated
11/05/2010
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