Individual
COLLEEN M POGGENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1251 W GLEN OAKS LN, MEQUON, WI 53092-3356
(414) 290-6720
(414) 290-6755
Mailing address
1251 W GLEN OAKS LN, MEQUON, WI 53092-3356
(414) 290-6720
(414) 290-6755
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41545-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34689800
—
WI
Enumeration date
06/17/2006
Last updated
03/16/2022
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