Individual
MS. MICHELLE L KOLODZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
7210 EDGEHILL RD, GREENDALE, WI 53129-1724
(414) 708-0639
Mailing address
7210 EDGEHILL RD, GREENDALE, WI 53129-1724
(414) 708-0639
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
133069-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35060000
—
WI
Enumeration date
06/16/2008
Last updated
06/16/2008
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