# DR. MATTHEW BRENDON COLLIGAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1174528202
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | OS9282 | FL | — |
| 207X00000X | Orthopaedic Surgery Physician | 5101014350 | MI | — |
| 207X00000X | Orthopaedic Surgery Physician | 63648-21 | WI | Yes |

## Other

- **Enumeration date:** 06/16/2005
- **Last updated:** 03/26/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 270390400 | — | FL |
| 05 | — | 4820631 | — | MI |