Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 12816 | MI |
NPI | 1013016948 |
---|---|
Provider Name | Dr. Josef N Kolling |
First Address | Ann Arbor, MI 48103-9131 |
Second Address | Ann Arbor, MI 48103-9131 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 08/07/2007 |