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Individual

MICHAEL B. COLGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1221 WHIPPLE ST, EAU CLAIRE, WI 54703
(715) 838-5222
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(608) 785-0940

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
103829
MN
207N00000X
Dermatology Physician
51083
MN
207N00000X
Dermatology Physician
57581
WI
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
57581
WI
207R00000X
Internal Medicine Physician
2578
CO

Other

Enumeration date
02/13/2008
Last updated
10/06/2020
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