| David Lee Colgrove, MD | |
|
1225 E Coolspring Ave, Suite 300, Michigan City, IN 46360-6312 | |
| (219) 878-5032 | |
| (219) 861-8151 |
| Full Name | David Lee Colgrove |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 1225 E Coolspring Ave, Michigan City, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891855680 | NPI | - | NPPES |
| 201024240 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 01069760A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| David Lee Colgrove, MD 1040 Sierra Dr, Suite 400, Greenwood, IN 46143-7240 Ph: (317) 528-4800 | David Lee Colgrove, MD 1225 E Coolspring Ave, Suite 300, Michigan City, IN 46360-6312 Ph: (219) 878-5032 |
David Miller, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1225 E Coolspring Ave, Michigan City, IN 46360 Phone: 219-878-5031 Fax: 219-878-5052 | |
Dr. Chad Alan Glazer, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 8865 W 400 N Ste 120, Michigan City, IN 46360 Phone: 219-878-5031 Fax: 219-879-5498 | |
William Rosevear, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1225 E Coolspring Ave, Michigan City, IN 46360 Phone: 219-878-5032 Fax: 219-878-5052 | |
Matthew J Provenzano, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1225 E Coolspring Ave Ste 300, Michigan City, IN 46360 Phone: 219-878-5032 Fax: 219-861-8151 |