Provider Demographics
NPI:1922007269
Name:KOLINSKY, CAROL ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:ANN
Last Name:KOLINSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CAROL
Other - Middle Name:ANN
Other - Last Name:KRIEG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:E5261 M35
Mailing Address - Street 2:
Mailing Address - City:ESCANABA
Mailing Address - State:MI
Mailing Address - Zip Code:49829-9669
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:E5261 M35
Practice Address - Street 2:
Practice Address - City:ESCANABA
Practice Address - State:MI
Practice Address - Zip Code:49829-9669
Practice Address - Country:US
Practice Address - Phone:909-789-1245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI404885207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1497792386OtherUP OPHTHALMOLOGY GR NPI
MI180B160140OtherBLUE CROSS BLUE SHIELD
MI010015500OtherRAILROAD MEDICARE
MI102940677Medicaid
MI102940677Medicaid
MI180B160140OtherBLUE CROSS BLUE SHIELD
MI010015500OtherRAILROAD MEDICARE
MI0B16014001Medicare PIN
MI010015500Medicare PIN