KEVIN JOHN BOLAK

MUSKEGON, MI
NPI1942408471
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: DE  CP002002)
Enumeration Date2007-07-05
Last Update Date2007-07-09
Business Address
-- KEVIN JOHN BOLAK C.P.
3324 GLADE ST
MUSKEGON, MI 49444-2708
Phone number: 231-215-1419
Mailing Address
-- KEVIN JOHN BOLAK C.P.
1946 HORTON RD
MUSKEGON, MI 49445-1112
Phone number: 231-215-1419