Search › Michigan › 106S00000X
Bradley Koliba
NPI 1134760838 · on the registry since 2019
Practice
- Address
- 31225 Jefferson Ave
Saint Clair Shores, MI 48082 - Phone
- (586) 519-6331
- Clinicians at this address
- 61
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-01-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan