Colleen Larose Miele
Adolescent Medicine
47601 Grand River Ave B233
Novi
, Michigan 48374-1233
Colleen Larose Miele
Adolescent Medicine
47601 Grand River Ave B233
Novi
, Michigan 48374-1233
(248) 746-0308
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Colleen Larose Miele
- 25925 Telegraph Rd 210
- Southfield, MI
- Zip : 48034-2518
- Fax : (248) 746-0308
- Phone : (248) 746-0342
Second Address
- Colleen Larose Miele
- 47601 Grand River Ave B233
- Novi, MI
- Zip : 48374-1233
- Fax : (248) 465-4809
- Phone : (248) 465-4847
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 4301061288 | MI |
National Provider Identifier
| NPI | 1265431696 |
|---|---|
| Provider Name | Colleen Larose Miele |
| First Address | Southfield, MI 48034-2518 |
| Second Address | Novi, MI 48374-1233 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G36169 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.