Individual
COLLEEN M. CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
130 2ND ST, NEENAH, WI 54956-2883
(920) 729-3015
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3200
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
47417
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43533300
—
WI
Enumeration date
04/20/2006
Last updated
11/23/2011
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