Individual
MR. PAUL ALLEN COLLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA, APRN, PHN
Contact information
Practice address
19571 SUNRISE CT, ROGERS, MN 55374-4841
(602) 790-0617
Mailing address
19571 SUNRISE CT, ROGERS, MN 55374-4841
(602) 790-0617
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R189295-8
MN
Other
Enumeration date
11/23/2015
Last updated
12/02/2015
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