Provider Demographics
NPI:1053635946
Name:KOLBE, NINA MASTRACCI (DO)
Entity Type:Individual
Prefix:
First Name:NINA
Middle Name:MASTRACCI
Last Name:KOLBE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:75 BARCLAY CIR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-5820
Mailing Address - Country:US
Mailing Address - Phone:248-853-9177
Mailing Address - Fax:248-853-7258
Practice Address - Street 1:75 BARCLAY CIR
Practice Address - Street 2:SUITE 200
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-5820
Practice Address - Country:US
Practice Address - Phone:248-853-9177
Practice Address - Fax:248-853-7258
Is Sole Proprietor?:No
Enumeration Date:2010-03-21
Last Update Date:2022-06-08
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Provider Licenses
StateLicense IDTaxonomies
MI5101018739208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery