Provider Demographics
NPI:1053567743
Name:NADOLSKY, KARL JR (DO)
Entity type:Individual
Prefix:DR
First Name:KARL
Middle Name:
Last Name:NADOLSKY
Suffix:JR
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:650 S WAVERLY RD STE 100
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-9121
Mailing Address - Country:US
Mailing Address - Phone:616-312-2859
Mailing Address - Fax:866-636-2397
Practice Address - Street 1:650 S WAVERLY RD STE 100
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-9121
Practice Address - Country:US
Practice Address - Phone:616-312-2859
Practice Address - Fax:866-636-2397
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101023031207RE0101X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
1053567743OtherNADOLSKY PLC