Individual provider · Type 1 NPI

Madison Kolassa, FNP-BC

Family Nurse Practitioner · Clinton Township, MI

NPI number 1124930763 Active

Practice location

21510 Harrington St Ste 303
Clinton Township, MI 48036-2378

Call (586) 741-5346 Map

Fax (586) 741-8886

Mailing address

15479 Meadows Dr
Fraser, MI 48026-5024

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704405709 (MI)

Family Nurse Practitioner: Definition to come...

2 other providers at this address

Other family nurse practitioner providers in Clinton Township

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About NPI 1124930763

Madison Kolassa, FNP-BC's National Provider Identifier is 1124930763, issued on Sep 18, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Clinton Township, MI. The record was last updated on Oct 23, 2026.