Colonnade Medical Group, INC

NPI #1255427217 in Lancaster, Ohio

Provider Information

NPI Number: 1255427217
Entity Type: Organization
Organization Name: Colonnade Medical Group, INC
Primary Specialty: Internal Medicine
Enumeration Date: Oct 5, 2006
Last Updated: Sep 5, 2007

Practice Location

Address: 1550 SHERIDAN DR
Address 2: SUITE 202
City: Lancaster
State: Ohio
ZIP Code: 43130-1380
Phone: (740) 654-0232

Authorized Official

Name: CAROLE REYNOLDS
Title: OFFICE MGR
Phone: (740) 654-0232

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Internal Medicine	207R00000X	Primary

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