Healthcare Provider Details

I. General information

NPI: 1780602102
Provider Name (Legal Business Name): JAMES D COLSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 EAST MEDICAL CENTER DR 2ND FLOOR MED INN RM C213 RECP C
ANN ARBOR MI
48109-0824
US

IV. Provider business mailing address

3621 S STATE ST 700 KMS PLACE ATTN ELLEN KAYFES
ANN ARBOR MI
48108
US

V. Phone/Fax

Practice location:
  • Phone: 734-763-5459
  • Fax:
Mailing address:
  • Phone: 734-936-2047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number4301073281
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number4301073281
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: