Individual
KRISTIAN MICHAEL KOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
217 S MADISON STREET, TRAVERSE CITY, MI 49684
(231) 392-8400
(231) 935-7888
Mailing address
2513 MOMENTUM PL, CHICAGO, IL 60689-5325
(231) 935-6080
(231) 935-6081
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
5101018711
MI
Other
Enumeration date
06/29/2010
Last updated
12/21/2020
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