Individual
COLLEEN B. VANDERKOLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5700 TEMPLE RD STE 301, NASHVILLE, TN 37221-4223
(629) 208-6160
(629) 208-6161
Mailing address
300 20TH AVE N STE 403, NASHVILLE, TN 37203-5180
(615) 284-4029
(615) 284-7501
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2627
TN
2084N0400X
Neurology Physician
45412-021
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43525100
—
WI
Enumeration date
06/03/2006
Last updated
08/12/2019
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