Individual
NICHOLAS COLOSI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
(618) 998-5662
Mailing address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
(618) 998-5662
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31672
MO
Other
Enumeration date
02/15/2006
Last updated
11/05/2021
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