Provider Demographics
NPI:1649294091
Name:APP, COLLEEN ANNE-CURCIO (MD)
Entity type:Individual
Prefix:
First Name:COLLEEN
Middle Name:ANNE-CURCIO
Last Name:APP
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:630 KENMOOR AVE SE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-8626
Mailing Address - Country:US
Mailing Address - Phone:616-920-0825
Mailing Address - Fax:616-920-0830
Practice Address - Street 1:630 KENMOOR AVE SE
Practice Address - Street 2:SUITE 102
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-8626
Practice Address - Country:US
Practice Address - Phone:616-920-0825
Practice Address - Fax:616-920-0830
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2015-07-08
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Provider Licenses
StateLicense IDTaxonomies
MI4301070786208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
H68036Medicare UPIN
MIM74460589Medicare PIN