| NPI | 1134766959 |
|---|---|
| Former Name | JOHN MICHAEL KORLESKI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 74769) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 32704) |
| Enumeration Date | 2019-12-01 |
| Last Update Date | 2023-07-17 |