Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 44940 | MN |
N | 111NI0900X | Internist | 44940 | MN |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 4301106305 | MI |
Y | 207RC0000X | Internist - Cardiovascular Disease | 4301106305 | MI |
N | 207RC0000X | Internist - Cardiovascular Disease | 44940 | MN |
NPI | 1457388431 |
---|---|
Provider Name | Monica Mechele Colvin |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48109-5000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 19/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0051584 | (05) | MT |
090882700 | (05) | MN |
102449 | UCARE (01) | MN |
1031493 | PREFERRED ONE (01) | MN |
1671088 | ARAZ (01) | MN |
242A0CO | BCBS (01) | MN |
25-00021 | MEDICA PRIMARY (01) | MN |
25-00781 | MEDICA CHOICE (01) | MN |
H65396 | (02) | MN |
HP38522 | HEALTHPARTNERS (01) | MN |