Individual
MAELYNN D COLINCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7007 NORTH RANGE LINE ROAD, GLENDALE, WI 53209
(414) 352-3341
(414) 247-4588
Mailing address
4555 WEST SCHROEDER DRIVE, SUITE 170, MILWAUKEE, WI 53223
(414) 365-3210
(414) 365-3225
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34964
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32252800
—
WI
Enumeration date
05/31/2006
Last updated
12/27/2021
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