Individual
BRANDON E COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1003 BELLEFONTAINE AVE STE 125, LIMA, OH 45804-1867
(419) 998-8207
(419) 998-8216
Mailing address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 998-4575
(419) 998-4514
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35.134199
OH
Other
Enumeration date
06/04/2012
Last updated
05/27/2020
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