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NPI Code Detail

MEDICARE: TRAMELLA COLBERT

MEDICARE:   TRAMELLA  COLBERT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1247200000XOther Technician

General Provider Information

NPI Number : 1215821525
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRAMELLA COLBERT
Provider Business Mailing Address
First Line : 24624 ADAMS CT APT 209
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48335-1800
Country : US
Telephone Number : 810-288-7734
Fax Number :
Provider Business Practice Location Address
First Line : 24624 ADAMS CT APT 209
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48335-1800
Country : US
Telephone Number : 810-288-7734
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2025
Last Update Date : 06/03/2025

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Directions to “ TRAMELLA COLBERT ” Practice Location

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