Individual
CHERYL M COLBENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
900 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6122
(715) 717-4121
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
(309) 655-7869
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-112089
IL
207P00000X
Emergency Medicine Physician
Primary
DO2832
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112089
—
IL
01
—
800810
MEDICARE GROUP NO.
—
Enumeration date
07/06/2006
Last updated
12/12/2024
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