Healthcare Provider Details

I. General information

NPI: 1063255438
Provider Name (Legal Business Name): COLTON JOHN PRETE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2024
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 W WASHINGTON ST
MARQUETTE MI
49855-3116
US

IV. Provider business mailing address

500 JACKSON ST APT 2
MARQUETTE MI
49855-5081
US

V. Phone/Fax

Practice location:
  • Phone: 906-449-1600
  • Fax: 833-916-2209
Mailing address:
  • Phone: 385-245-9436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number5101029195
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: