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JAMES MICHAEL COLAR RN

Nursing Service Providers Registered Nurse Ambulatory Care

Provider NPI: 1639436975

Provider Information:
 JAMES MICHAEL COLAR RN
Gender: M
Not Sole Proprietor

Practice Location:
3601 W 13 MILE RD  ROYAL OAK, MI 48073-6712 US
Tel: 248-898-5983  Fax: --

Business Mailing Address:
1644 CYNTHIA AVE  MADISON HEIGHTS, MI 48071-4801 US
Tel: 248-898-5983  Fax: --

NPI Information:
NPI: 1639436975
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N163WP2201XNursing Service Providers
Registered Nurse
Ambulatory Care
MI4704175219
Y363LA2100XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
MI4704175219

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 363LA2100X

Type:

Classification:



Definition:



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