Individual
DR. MYRA GAIL KOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1800 W. BIG BEAVER RD., SUITE 200, TROY, MI 48084
(248) 205-3535
(248) 649-5920
Mailing address
36700 WOODWARD AVE, 300, BLOOMFIELD HILLS, MI 48304-0926
(248) 203-6620
(248) 203-0093
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301-065159
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3307137
—
MI
Enumeration date
08/09/2005
Last updated
06/03/2021
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