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Kolbasnik, Alexandr

CPSO#: 76077

MEMBER STATUS

Active Member as of 01 Jul 2001

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 20 Jun 2003

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education: McMaster University, 2001

Practice Information

Primary Location of Practice

10-B Victoria St. S.
Kitchener ON N2G 1C5
Phone: (519) 783-0022
Fax: (519) 783-0032 Electoral District: 03

Additional Practice Location(s)

835 King St. E.
Grand River Hospital
Kitchener ON N2G 1G3
Canada
Phone: (519) 749-4300
County: Regional Municipality of Waterloo
Electoral District: 03

250 Laurelwood Drive
University Gates, Long Term Care
Waterloo ON N2J 0E2
Canada
Phone: (519) 904-0650
County: Regional Municipality of Waterloo
Electoral District: 03

726 New Hampshire Street
Waterloo ON N2K 4M1
Canada
Phone: (519) 885-4810
County: Regional Municipality of Waterloo
Electoral District: 03

Professional Corporation Information

Corporation Name: Alexandr Kolbasnik Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: May 01 2007

Shareholders:
Dr. A. Kolbasnik ( CPSO# 76077 )

Business Address:
835 King Street West
Kitchener ON  N2G 2G3
Phone Number: (519) 749-4300

Business Address:
10B Victoria Street South
Kitchener ON  N2G 1C5
Phone Number: (519) 783-0022

Business Address:
726 New Hampshire Street
Waterloo ON  N2K 4M1
Phone Number: (519) 885-4810

Business Address:
250 Laurelwood Drive
Waterloo ON  N2J 0E2
Phone Number: (519) 904-0650

Hospital Privileges

Hospital	Location
Grand River Hospital Corporation	Kitchener
St Mary's General Hospital	Kitchener

Specialties

Specialty	Issued On	Type
Family Medicine	Effective:19 Jun 2003	CFPC Specialist

Terms and Conditions

(1) Dr. ALEXANDR KOLBASNIK may practise only in the areas of medicine in which Dr. KOLBASNIK is educated and experienced.

Postgraduate Training

Please note: This information may not be a complete record of postgraduate training.

McMaster University, 01 Jul 2001 to 30 Jun 2002
PostGrad Yr 1 - Family Medicine

McMaster University, 01 Jul 2002 to 30 Jun 2003
PostGrad Yr 2 - Family Medicine

Registration History

Action	Issue Date
First certificate of registration issued: Postgraduate Education Certificate	Effective: 01 Jul 2001
Transfer of class of registration to: Independent Practice Certificate	Effective: 20 Jun 2003