Individual
DR. PIOTR J KOLANOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215-3669
(414) 385-8600
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
36068-020
WI
207Q00000X
Family Medicine Physician
Primary
36068
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04801866
ECFMG NUMBER
—
05
—
32264800
—
WI
Enumeration date
05/03/2006
Last updated
12/04/2023
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