Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Pamela Kolacz, MD

Individual provider Family Medicine Physician · NPI 1205852480

Pamela Kolacz, MD is a Family Practice in Maple Grove, Minnesota. Graduated from Indiana University School of Medicine in 1991, 35 years ago. Practices with Fairview Clinics, a 806-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
35
Trained at
Indiana University School of Medicine
Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6320 Wedgwood Rd N
Maple Grove, MN 55311-3647
Phone: (763) 268-0400
Fax: (763) 268-0405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 42205 (MN)

Record details

NPI number1205852480
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 14, 2006
Last updated in NPPESApril 13, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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