Individual
COLLEEN LAROSE MIELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301061288
MI
2080A0000X
Pediatric Adolescent Medicine Physician
4301061288
MI
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
4301061288
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
325523710
—
MI
Enumeration date
07/19/2005
Last updated
11/03/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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