Provider Demographics
NPI:1497216576
Name:ROLINSKI, MARY (CD(DONA), CBS)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:ROLINSKI
Suffix:
Gender:F
Credentials:CD(DONA), CBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:556 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-4725
Mailing Address - Country:US
Mailing Address - Phone:616-403-1412
Mailing Address - Fax:
Practice Address - Street 1:556 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-4725
Practice Address - Country:US
Practice Address - Phone:616-403-1412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-29
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI13038374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula