# DR. ANDREW COLMAN

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

## Provider details

- **NPI number:** 1912983131
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 5101007865 | MI | Yes |

## Other

- **Enumeration date:** 12/20/2005
- **Last updated:** 06/30/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1912983131 | — | MI |
| 01 | — | 700H219150 | BLUE SHIELD | MI |