Provider Demographics
NPI:1629039326
Name:KOLBE, KARL F (MD)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:F
Last Name:KOLBE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:38865 DEQUINDRE RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-6812
Mailing Address - Country:US
Mailing Address - Phone:248-720-2626
Mailing Address - Fax:248-720-2620
Practice Address - Street 1:38865 DEQUINDRE RD
Practice Address - Street 2:SUITE 106
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-6812
Practice Address - Country:US
Practice Address - Phone:248-720-2626
Practice Address - Fax:248-720-2620
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301040372207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3220868Medicaid
1629039326OtherRAILROAD MEDICARE
MI3220868Medicaid
OM12070001Medicare ID - Type Unspecified