Individual
PAULA C COLOMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
105 HALL ST, SUITE A, TRAVERSE CITY, MI 49684-2288
(231) 922-4850
(231) 935-3856
Mailing address
105 HALL ST, SUITE A, TRAVERSE CITY, MI 49684-2288
(231) 922-4850
(231) 935-3856
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301073659
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10-4540093
—
MI
01
—
PC073659
BCBSM
MI
Enumeration date
11/06/2006
Last updated
07/10/2007
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