Dr. Matthew B. Colligan D.O.
Orthopaedic Surgery Physician in Green Bay, WI(View on Map)
Full Name
Dr. Matthew Brendon Colligan D.O.
NPI Number
1174528202
NPI Type
Individual Provider
Gender
Male
Enumeration Date
06/16/2005
Specialties
(Taxonomies)Code
207X00000X
204C00000X
Primary Taxonomy
Yes
No
Licenses
State
Florida
Michigan
Wisconsin
License Number
OS9282
5101014350
63648-21
Contact
Information
Purpose
Mailing
Location
Address
1715 DOUSMAN ST
1715 DOUSMAN ST
City
Green Bay
Green Bay
State
WI
WI
Postal Code
54303-3211
54303-3211
Country
US
US
Telephone Number
(920) 496-4700
(920) 496-4700
Identifiers
Identifier
4820631
270390400
Identifier State
MI
FL
Identifier Issuer
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/26/2015