Matthew Brendon Colligan D.O.

NPI 1174528202 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1174528202
Gender Male
Enumeration Date 06/16/2005
Last Updated 03/26/2015
Entity Type Individual
Active Over 12 years ago
Practice Location
1715 DOUSMAN ST
GREEN BAY WI, 54303-3211, US
Phone (920) 496-4700
Fax
Business Location
1715 DOUSMAN ST
GREEN BAY WI, 54303-3211, US
Phone (920) 496-4700
Fax
Toxanomy
Taxonomy Code 207X00000X
License State Michigan
License Number 5101014350
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According to our database, Dr. Matthew Brendon Colligan D.O. NPI is 1174528202, taxonomy code is 207X00000X and license number is 5101014350, license state is located at Michigan. Matthew Brendon Colligan D.O. physically located at 1715 Dousman St, Green Bay WI, 54303-3211. NPI Number Matthew Brendon Colligan D.O. has the Individual type.

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1174528202 NPI number is provided on an as is basis without warranty of any kind. 1174528202 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Brendon Colligan D.O. are for informational purposes only.