MEDICARE: DR. CHARLES GEORGE COLOMBO M.D.

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
1	174400000X	Specialist	CC033296	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588660807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES GEORGE COLOMBO M.D.

Provider Business Mailing Address
First Line	:	2625 SOLUTION CTR
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-2006
Country	:	US
Telephone Number	:	248-293-5161
Fax Number	:	248-293-5162

Provider Business Practice Location Address
First Line	:	1701 SOUTH BLVD E
Second Line	:	STE 180
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-6115
Country	:	US
Telephone Number	:	248-293-5161
Fax Number	:	248-293-5162

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	12/22/2015

Similar Medicare Providers

1760505432 — JOHN B CALADO, P.C.
Practice Location Address:

1701 SOUTH BLVD E STE 160
ROCHESTER HILLS, MI
48307-6115

Practice Phone: 248-598-5080
Practice Fax:

1093933806 — LMT REHABILITATION ASSOCIATES
Practice Location Address:

1701 SOUTH BLVD E STE 120 , WELLPOINTE CENTER
ROCHESTER HILLS, MI
48307-6115

Practice Phone: 248-852-0860
Practice Fax: 248-852-0901

1497277099 — ARCTURUS HEALTHCARE PLC
Practice Location Address:

1701 SOUTH BLVD E STE 150
ROCHESTER HILLS, MI
48307-6115

Practice Phone: 248-243-3825
Practice Fax: 248-731-1704

1346801578 — YI LING DAI MD
Practice Location Address:

1701 SOUTH BLVD E STE 180
ROCHESTER HILLS, MI
48307-6115

Practice Phone: 248-293-5161
Practice Fax: 248-564-2954

1447848304 — AMELIA MANCINI
Practice Location Address:

1701 SOUTH BLVD E STE 150
ROCHESTER HILLS, MI
48307-6115

Practice Phone: 248-997-7000
Practice Fax:

1700562758 — MORTADA ALTWAIJ OD
Practice Location Address:

1701 SOUTH BLVD E STE 180
ROCHESTER HILLS, MI
48307-6115

Practice Phone: 586-203-3575
Practice Fax:

Directions to “ DR. CHARLES GEORGE COLOMBO M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.