Individual
DR. COLLEEN J O'ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
421 NEBRASKA ST, STURGEON BAY, WI 54235-2225
(920) 746-7155
(920) 746-2439
Mailing address
421 NEBRASKA ST, STURGEON BAY, WI 54235-2225
(920) 746-7155
(920) 746-2439
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26694-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568523330
DEANHEALTH PLAN
WI
05
—
1568523330
—
WI
05
—
30669800
—
WI
01
—
OROURCOL-MO
MERCYCARE INSURANCE
WI
Enumeration date
12/13/2006
Last updated
09/04/2014
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