Individual provider · Type 1 NPI

Kristian Michael Koller, DO

Hematology & Oncology Physician · Traverse City, MI

NPI number 1760793368 Active

Practice location

217 S Madison Street
Traverse City, MI 49684

Fax (231) 935-7888

Mailing address

2513 Momentum Pl
Chicago, IL 60689-5325

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X5101018711 (MI)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1760793368

Kristian Michael Koller, DO's National Provider Identifier is 1760793368, issued on Jun 29, 2010. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Traverse City, MI. The record was last updated on Dec 21, 2020.