Individual
CHRISTINE M COLBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
640 JACKSON ST, MC 11103E, ST PAUL, MN 55101-2502
(651) 254-4796
(651) 254-2741
Mailing address
8170 33RD AVE S, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
42487
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
624608700
—
MN
Enumeration date
02/14/2006
Last updated
05/06/2021
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