Individual
KEVIN JOHN BOLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.
Contact information
Practice address
3324 GLADE ST, MUSKEGON, MI 49444-2708
(231) 215-1419
Mailing address
1946 HORTON RD, MUSKEGON, MI 49445-1112
(231) 215-1419
(231) 744-7120
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CP002002
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F10293
BCBSM PROVIDER PIN
MI
Enumeration date
07/05/2007
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us