Individual
MICHELLE BACKUS COLWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 MICHIGAN ST NE # MC027, GRAND RAPIDS, MI 49503-2560
(616) 391-2160
(616) 391-2683
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 391-2967
(616) 391-2683
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
47016
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32666500
—
WI
05
—
34549100
—
WI
Enumeration date
08/31/2005
Last updated
03/17/2026
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