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1396909933
CHRISTIAN KOLACKI
GRAND RAPIDS, MI
NPI
1396909933
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MI 4301092505)
Enumeration Date
2008-07-14
Last Update Date
2016-06-09
Business Address
-- CHRISTIAN KOLACKI
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-1680
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Mailing Address
-- CHRISTIAN KOLACKI
2537 MOMENTUM PL
CHICAGO, IL 60689-5325
Phone number: 616-975-1845
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