Individual
MINDEN C COLLAMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1120 POLARIS PKWY STE 110, COLUMBUS, OH 43240-4042
(614) 797-0600
(614) 259-0610
Mailing address
1120 POLARIS PKWY STE 110, COLUMBUS, OH 43240-4042
(614) 797-0600
(614) 259-0610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.015848
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2019
Last updated
09/17/2022
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