Individual
DAVID LEE COLGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 E COOLSPRING AVE, SUITE 300, MICHIGAN CITY, IN 46360-6312
(219) 878-5032
(219) 861-8151
Mailing address
1040 SIERRA DR, SUITE 400, GREENWOOD, IN 46143-7240
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01069760A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201024240
—
IN
Enumeration date
12/11/2006
Last updated
04/27/2016
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