Individual
ANGELA COLARELLI CARRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1020 N 12TH ST, MILWAUKEE, WI 53233-1308
(414) 266-6229
(414) 266-7638
Mailing address
PO BOX 88339, MILWAUKEE, WI 53288-0001
(414) 266-6229
(414) 266-7638
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28494
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31480600
—
WI
Enumeration date
10/03/2006
Last updated
07/08/2007
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