Individual
DR. MARY E COLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
913 E 26TH ST STE 402, MINNEAPOLIS, MN 55404-4515
(612) 863-3150
(612) 262-0997
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36783
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
631259400
—
MN
Enumeration date
12/29/2005
Last updated
09/12/2024
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