WALTER DOUGLAS KOLMODIN

GRANGER, IN
NPI1265427645
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: IN  07000902A)
Enumeration Date2005-09-13
Last Update Date2016-08-03
Business Address
Mr. WALTER DOUGLAS KOLMODIN DPM
14950 STATE ROAD 23
GRANGER, IN 46530-7564
Phone number: 574-259-9668
Mailing Address
Mr. WALTER DOUGLAS KOLMODIN DPM
14950 STATE ROAD 23
GRANGER, IN 46530-7564
Phone number: 574-259-9668
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