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Mr. Eduard Volfovitch Kotlyarov, MD
Diagnostic Radiology Physician in Lapeer, Michigan
NPI 1851348247

Eduard Volfovitch Kotlyarov is a Diagnostic Radiology Physician based in Detroit, MI and is specialized in Diagnostic Radiology. Eduard Volfovitch Kotlyarov practices in Lapeer, MI and has the professional credentials of MD. The NPI Number for Eduard Volfovitch Kotlyarov is 1851348247 and holds a License No. 0101032700 (Michigan).

The current practice location address for Eduard Volfovitch Kotlyarov is 1375 N Main St, Lapeer, MI and can be reached out via phone at 810-667-5500.

Location: 1375 N Main St, Lapeer, MI, 48232-0627
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851348247
Provider Name
Eduard Volfovitch Kotlyarov
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1375 N Main St, Lapeer, MI, 48232-0627
Phone Number
810-667-5500
Fax Number
Provider Enumeration Date
05/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2965193 05 MI
300049506 01 MI RRMC
310D460020 01 MI BCBS GROUP PIN
3006399421 01 MI BCBS PIN #
CA5318 01 MI MEDICARE RR GROUP PIN
2965228 05 MI
institution
Provider Business Practice Location Address Details
Address
1375 N Main St
City
Lapeer
State
Michigan
Zip
48446-1350
Phone Number
810-667-5500
Fax Number
person
Provider Business Mailing Address Details
Address
1375 N Main St
City
Lapeer
State
Michigan
Zip
48446-1350
Phone Number
810-667-5500
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Nuclear Radiology
Taxonomy
2085N0904X
License No.
D0026059 (Maryland)
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
0101032700 (Virginia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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