Michael James Colvin, DDS Valid NPI

Individual provider · General Practice Dentistry · Onalaska, WI

NPI

1396836607

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

2933-015 (WI)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-09-28

Last updated

2007-07-09