MICHAEL B. COLGAN (NPI# 1447428321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447428321 |
| Entity Type | Individual |
| Full Name | MICHAEL B. COLGAN |
| Credential | MD |
| Practice Address |
1221 Whipple St Eau Claire WI 54703 |
| Mailing Address |
Po Box 1510 Eau Claire WI 54702-1510 |
| Practice Telephone | 7158385222 |
| Mailing Telephone | 6087850940 |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2020-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 57581 | WI | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 51083 | MN | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 103829 | MN | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
57581 | WI | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 2578 | CO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 700 West Ave S, La Crosse, WI 546014783 | 6083926719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548537525 | Michael James Colgan | Pharmacist | 3245 Agency Street, Burlington, IA 52601 | 2011-11-19 |
| 1578176145 | Michael Colgan | Physical Therapist | 192 Newberry Pkwy, Etters, PA 17319-8968 | 2020-08-24 |
| 1538770607 | Michael Colgan | Pharmacist | 7739 State Ave, Kansas City, KS 66112-2819 | 2020-08-12 |
| Street Address |
1221 WHIPPLE ST |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720085772 | Steve K Swartz | Physician Assistant | 1221 Whipple St, Eau Claire, WI 54703 | 2005-07-06 |
| 1205441748 | Joshua David Militzer | Physical Therapist | 1221 Whipple St, Eau Claire, WI 54703-5200 | 2020-09-11 |
| 1124633813 | Samuel Steinberger | Physical Therapist | 1221 Whipple St, Eau Claire, WI 54703-5200 | 2020-09-10 |
| 1093338576 | Rachel Jo Simon | Genetic Counselor, MS | 1221 Whipple St, Eau Claire, WI 54703-5200 | 2020-05-19 |
| 1063042133 | Frances Jordahl | Counselor | 1221 Whipple St, Eau Claire, WI 54703-5270 | 2020-01-17 |
| 1487298600 | Rebecca Hunsley | Physician Assistant | 1221 Whipple St, Eau Claire, WI 54703-5270 | 2019-10-30 |
| 1629622550 | Michelle Forsman | Physician Assistant | 1221 Whipple St, Eau Claire, WI 54703-5270 | 2019-07-29 |
| 1831742972 | Debra Callow | Nurse Practitioner | 1221 Whipple St, Eau Claire, WI 54703-5270 | 2019-07-18 |
| 1730646324 | Brittany Lynn Jensen | Physician Assistant | 1221 Whipple St, Eau Claire, WI 54703-5270 | 2019-03-01 |
| 1497210785 | Annie Mcsharry | Nurse Practitioner | 1221 Whipple St, Eau Claire, WI 54703-5270 | 2019-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535929 | Eclipse Counseling LLC | Clinic/Center | 1136 Barron St, Eau Claire, WI 54703 | 2020-07-17 |
| 1982261012 | Melissa Mae Jenneman | Social Worker | 306 Broadway Street, Eau Claire, WI 54703 | 2019-05-23 |
| 1396217014 | Jennifer Grace Joos | Case Manager/Care Coordinator | 2523 Diane Ln, Eau Claire, WI 54703 | 2018-12-19 |
| 1811437346 | Phillip Dolan | Specialist/Technologist | 2801 E Princeton Ave, Eau Claire, WI 54703 | 2017-03-02 |
| 1467830463 | Ryan Behnke | Specialist/Technologist | 725 Hudson St., Eau Claire, WI 54703 | 2015-05-11 |
| 1366737769 | Eric D. Carlson | Dentist | 1020 Menomonie Street, Eau Claire, WI 54703 | 2011-06-14 |
| 1669782587 | Jennifer Jean Andersen | Registered Nurse | 2027 West Ridge Dr., Eau Claire, WI 54703 | 2010-10-13 |
| 1407011257 | Scott R Lau | Hearing Instrument Specialist | 1802 Galloway Street, Eau Claire, WI 54703 | 2008-07-22 |
| 1134316615 | Robert G Grayson | Dentist | 2725 Morningside Dr, Eau Claire, WI 54703 | 2007-09-28 |
| 1689880858 | Okie Earl Allen | Hearing Instrument Specialist | 616 Lamplighter Ct, Eau Claire, WI 54703 | 2007-05-15 |
| Find all providers in zip 54703 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605880 | Forefront Dermatology Sc | Dermatology | W7713 Johnson Ct, Wautoma, WI 54982-5274 | 2020-10-05 |
| 1023482569 | Forefront Dermatology, S.c. | Dermatology | 1320 Pabst Farms Cir, Suite 180, Oconomowoc, WI 53066 | 2015-11-20 |
| 1417105545 | Forefront Dermatology, S.c. | Dermatology | 3515 Murray Street, Marinette, WI 54143 | 2008-09-03 |
| 1588857247 | Forefront Dermatology, S.c. | Dermatology | 1400 Scheuring Road, De Pere, WI 54115 | 2007-08-24 |
| 1083768253 | Forefront Dermatology, S.c. | Dermatology | 3935 N Lightning Dr, Appleton, WI 54913 | 2007-01-23 |
| 1003356692 | Forefront Dermatology, S.c. | Dermatology | 17100 W North Ave, Suite 200, Brookfield, WI 53005 | 2017-03-01 |
| 1477001956 | Forefront Dermatology, S.c. | Dermatology | 8501 75th St, Suite J, Kenosha, WI 53142 | 2016-09-14 |
| 1215483201 | Forefront Dermatology, S.c. | Dermatology | 10500 W Loomis Rd, Suite 110, Franklin, WI 53132 | 2016-08-30 |
| 1275913006 | Maxim Alexandrovich Polansky | Dermatology | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2015-06-06 |
| 1013350958 | New Dermatology Group Ltd | Dermatology | 704 S Webster Ave, Green Bay, WI 54301-3528 | 2013-04-10 |
| Find all providers with the same taxonomy | ||||
| City | EAU CLAIRE |
| Zip Code | 54703 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.