| NPI | 1588952188 |
|---|---|
| Doing Business As | KOLSTAD FACIAL PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER KOLSTAD Owner 858-859-2563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CA A100294) |
| Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2011-07-16 |
| Last Update Date | 2024-03-06 |