Organization
COLAB PHYSICIANS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK W NIEDFELDT MD (PRESIDENT)
(262) 643-4720
Entity
Organization
Contact information
Practice address
10325 N PORT WASHINGTON RD STE 150, MEQUON, WI 53092-5768
(262) 643-4720
(262) 643-4720
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 858-4106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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