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DR. GARY LEE LEE KOLESARI MD NPI 1326099169


NPI Information

NPI: 1326099169
Provider Name: DR. GARY LEE LEE KOLESARI, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
1121 E NORTH AVE
COLUMBIA-ST. MARY'S FAMILY MEDICINE
MILWAUKEE, WI
ZIP 53212
Phone: (414) 267-6502
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DR. Gary Lee Lee Kolesari, MD is a family medicine in Milwaukee, WI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Gary Lee Lee Kolesari, MD NPI is 1326099169. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1121 E NORTH AVE
COLUMBIA-ST. MARY'S FAMILY MEDICINE
MILWAUKEE, WI
ZIP 53212-515
Phone: (414) 267-6502
Fax: (414) 267-3892

The enumeration date for this NPI number is 5/15/2006 and was last updated on 3/4/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine21749WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B54258MEDICARE UPIN
21326099169MEDICAIDWISCONSIN
3020173601MEDICARE PINWISCONSIN
4002000122UOTHERHUMANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.