Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDGAR (TED) KING COLLISON IV, MD
Active Sole ProprietorEDGAR (TED) KING COLLISON IV, MD is a General Surgery healthcare provider located in GREEN BAY, Wisconsin. NPI 1043541154 is currently active in the NPPES registry. Verify at CMS.
General Surgery · GREEN BAY, WI
Registration Details
- NPI Number
- 1043541154
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 29, 2010 (16.559438080786 yrs)
- Last Updated
- Dec 16, 2021
- Licenses
-
336.084547 (IL)54369-020 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1715 DOUSMAN STGREEN BAY, WI, 543033211Browse WI providers · Browse ZIP 54303
- Phone
- 9204964700
- Primary Specialty
-
General Surgery
208600000X
- Additional Specialty
- General Surgery
Other General Surgery Providers in GREEN BAY, WI
| Name | Credential | NPI |
|---|---|---|
| DR. CYNTHIA L GEOCARIS | M.D. | 1265435853 |
| DR. MARCELO U GRAZZIOTIN | M.D. | 1497758072 |
| GOPE C HOTCHANDANI | M.D. | 1679531529 |
| DANIEL T. MCKENNA | M.D. | 1255389755 |
| ERIK E. JOHNSON | M.D. | 1770531279 |
| PER R ANDERAS | MD | 1861437303 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.