Individual
DR. MATTHEW BRENDON COLLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1715 DOUSMAN ST, GREEN BAY, WI 54303-3211
(920) 496-4700
Mailing address
1715 DOUSMAN ST, GREEN BAY, WI 54303-3211
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
OS9282
FL
207X00000X
Orthopaedic Surgery Physician
5101014350
MI
207X00000X
Orthopaedic Surgery Physician
Primary
63648-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270390400
—
FL
05
—
4820631
—
MI
Enumeration date
06/16/2005
Last updated
03/26/2015
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