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NPI Code Detail

MEDICARE: DR. ANDREW COLMAN DO

MEDICARE: DR. ANDREW COLMAN DO
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
1208D00000XGeneral Practice Physician5101007865MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1700H219150OTHERMIBLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912983131
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW COLMAN DO
Provider Business Mailing Address
First Line : PO BOX 2444
Second Line :
City : DALTON
State : GA
Zip : 30722-2444
Country : US
Telephone Number : 706-271-0100
Fax Number :
Provider Business Practice Location Address
First Line : 8365 N NEWBURGH RD
Second Line :
City : WESTLAND
State : MI
Zip : 48185-1149
Country : US
Telephone Number : 734-416-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2005
Last Update Date : 06/30/2020

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