Individual
MILES O COLWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 E EISENHOWER PKWY STE 100, ANN ARBOR, MI 48108-3346
(734) 936-7175
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301407060
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2715824
—
MI
Enumeration date
10/19/2006
Last updated
12/17/2019
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