Colella, Mario Riccardo

Colella, Mario Riccardo is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Department Of Emergency Medicine, Milwaukee WI 53226-3522. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Colella, Mario Riccardo can be contacted via phone (414) 805-6450.

Contact Information

Primary practice address
9200 W Wisconsin Ave Department Of Emergency Medicine Milwaukee WI 53226-3522
Fax: (414) 805-6464
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X H0060361 Maryland
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 50358 Wisconsin

Profile Details

NPI number 1336106277
LBN Legal business name Colella, Mario Riccardo
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Mar 7th, 2013 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336106277 NPPES
Wisconsin MEDICAID 1336106277

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