Provider Demographics
NPI:1184867160
Name:KOLARIK, DENNIS BRUCE (DO)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:BRUCE
Last Name:KOLARIK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7344 BARCLAY CT
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PARK
Mailing Address - State:FL
Mailing Address - Zip Code:34201-2340
Mailing Address - Country:US
Mailing Address - Phone:941-351-2527
Mailing Address - Fax:
Practice Address - Street 1:2221 9TH ST SW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44706-1464
Practice Address - Country:US
Practice Address - Phone:330-455-3663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-07
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1978207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery