Individual
MRS. ANDREA MARIE KOLONGOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22255 GREENFIELD RD STE 500, SOUTHFIELD, MI 48075-3734
(248) 849-3186
(248) 849-3460
Mailing address
22255 GREENFIELD RD STE 500, SOUTHFIELD, MI 48075-3734
(248) 849-3186
(248) 849-3460
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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