Colab Physicians, Sc

NPI #1902666035 in Mequon, Wisconsin

Provider Information

NPI Number: 1902666035
Entity Type: Organization
Organization Name: Colab Physicians, Sc
Primary Specialty: Family Medicine
Enumeration Date: Mar 19, 2024
Last Updated: Mar 19, 2024

Practice Location

Address: 10325 N PORT WASHINGTON RD STE 150
City: Mequon
State: Wisconsin
ZIP Code: 53092-5768
Phone: (262) 643-4720

Authorized Official

Name: MARK W NIEDFELDT, MD
Title: PRESIDENT
Phone: (262) 643-4720

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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