Colleen M Dolan (NPI# 1902233265, PAC ID# 0840429486) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1902233265 |
| PAC ID by PECOS | 0840429486 |
| Professional Enrollment ID | I20140131000863 |
| Full Name | Colleen M Dolan |
| Address |
12337 E Michigan Ave Grass Lake MI 49240-9213 |
| Phone Number | 5175228403 |
| Gender | F |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0547396236 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230092 | HENRY FORD ALLEGIANCE HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 12337 E Michigan Ave, Grass Lake, MI 49240-9213 | 5175228403 |
| Street Address |
12337 E MICHIGAN AVE |
| City | GRASS LAKE |
| State | MI |
| Zip | 49240-9213 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Leventer | Family Medicine | 12337 E Michigan Ave, Grass Lake, MI 49240-9213 | |
| Kathleen Anzicek | Family Medicine | 12337 E Michigan Ave, Grass Lake, MI 49240-9213 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel N Mikel | Chiropractic | 139 W Michigan Ave, Grass Lake, MI 49240-9188 | |
| Elizabeth Ann Shea | Nurse Practitioner | W A Foote Memorial Hospital Inc | 12369 E Michigan Ave, Henry Ford Allegiance Family Medicine Grass Lake, Grass Lake, MI 49240-9213 |
| Amina Yasser | Family Medicine | W A Foote Memorial Hospital Inc | 12369 E Michigan Ave, Henry Ford Allegiance Family Medicine Grass Lake, Grass Lake, MI 49240-9213 |
| City | GRASS LAKE |
| Zip Code | 49240 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GRASS LAKE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Colleen M Dolan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.