Individual
MONICA MECHELE COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DR, 3RD FLOOR CARDIOVASCULAR CENTER, ANN ARBOR, MI 48109-5000
(888) 287-1082
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108-1633
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44940
MN
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
4301106305
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4301106305
MI
207RC0000X
Cardiovascular Disease Physician
44940
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051584
—
MT
05
—
090882700
—
MN
01
—
102449
UCARE
MN
01
—
1031493
PREFERRED ONE
MN
01
—
1671088
ARAZ
MN
01
—
242A0CO
BCBS
MN
01
—
25-00021
MEDICA PRIMARY
MN
01
—
25-00781
MEDICA CHOICE
MN
01
—
HP38522
HEALTHPARTNERS
MN
Enumeration date
06/27/2006
Last updated
04/19/2016
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