Individual
DR. DOMINIC MICHAEL COLELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11104 PARKVIEW CIRCLE DR STE 310, FORT WAYNE, IN 46845-1733
(260) 266-5230
(260) 458-5972
Mailing address
6815 BISCAYNE BLVD STE 103, MIAMI, FL 33138-6292
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
02008721A
IN
207RG0100X
Gastroenterology Physician
73589-21
WI
207RG0100X
Gastroenterology Physician
81128
MN
Other
Enumeration date
12/06/2013
Last updated
03/09/2026
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