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Individual

DR. MICHAEL J COLSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-3814
(703) 776-4018
Mailing address
1613 E HARTFORD AVE, MILWAUKEE, WI 53211-3037
(847) 688-4560
(847) 688-2697

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101102701
VA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
0101102701
VA

Other

Enumeration date
01/22/2006
Last updated
11/03/2020
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