Individual
DR. MICHAEL ALAN COLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCMC
Contact information
Practice address
16-329 POHAKU DR, KEAAU, HI 96749-9674
(808) 315-1532
Mailing address
HC 3 BOX 4673, KEAAU, HI 96749-9605
(808) 896-2112
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
4247012
NJ
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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