Individual
DR. ANDREW CHARLES COLBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
63775
WI
207P00000X
Emergency Medicine Physician
ME117723
FL
Other
Enumeration date
09/27/2012
Last updated
07/08/2015
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