person
Corey John Koll, PA-C
Surgical Physician Assistant in Grand Rapids, Michigan
NPI 1649787128

Corey John Koll is a Surgical Physician Assistant based in Grand Rapids, MI and is specialized in Surgical. Corey John Koll practices in Grand Rapids, MI and has the professional credentials of PA-C. The NPI Number for Corey John Koll is 1649787128 and holds a License No. 5601008527 (Michigan).

The current practice location address for Corey John Koll is 1111 Leffingwell Ave Ne, Grand Rapids, MI and can be reached out via phone at 616-459-7101 and via fax at 616-464-6170.

Location: 1111 Leffingwell Ave Ne, Grand Rapids, MI, 49525-6406
person
Provider Profile Details
NPI Number
1649787128
Provider Name
Corey John Koll
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1111 Leffingwell Ave Ne, Grand Rapids, MI, 49525-6406
Phone Number
616-459-7101
Fax Number
616-464-6170
Provider Enumeration Date
01/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1111 Leffingwell Ave Ne
City
State
Zip
49525-6406
Phone Number
616-459-7101
Fax Number
616-464-6170
person
Provider Business Mailing Address Details
Address
1111 Leffingwell Ave Ne
City
State
Zip
49525-6406
Phone Number
616-459-7101
Fax Number
616-464-6170
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
5601008527 (Michigan)
Definition
Definition to come...
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