Individual
DR. NEIL FREDERICK KOLLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
25726 W. CHICAGO, REDFORD, MI 48239
(313) 937-1414
(313) 937-1130
Mailing address
25726 W. CHICAGO, REDFORD, MI 48239
(313) 937-1414
(313) 937-1130
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301002966
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105067
SELECT CARE
MI
01
—
350045169
MEDICARE RAILROAD
MI
01
—
950H251720
BCBS MI
MI
01
—
CH820047
MCARE
MI
01
—
P43640
BLUE CARE NETWORK
MI
Enumeration date
05/03/2007
Last updated
08/12/2010
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