Provider Demographics
NPI:1174587380
Name:KOLE, WILLIAM HSU (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HSU
Last Name:KOLE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:43401 SCHOENHERR RD
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313-1961
Mailing Address - Country:US
Mailing Address - Phone:586-488-3636
Mailing Address - Fax:586-488-3635
Practice Address - Street 1:43401 SCHOENHERR RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48313-1961
Practice Address - Country:US
Practice Address - Phone:586-488-3636
Practice Address - Fax:554-445-2800
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-14
Last Update Date:2021-11-11
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Provider Licenses
StateLicense IDTaxonomies
MI4301056051208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI136275400OtherACS DEPT OF LABOR
050088223OtherRAILROAD MEDICARE
MI0E00595OtherBCBSM GROUP NUMBER
MI10 4280270Medicaid
MI0505011422OtherBLUE CROSS BLUE SHIELD
MIF81501Medicare UPIN
MI0N89910Medicare PIN
MI0E00595OtherBCBSM GROUP NUMBER