Miele, Colleen Larose

Miele, Colleen Larose is an individual health care provider with primary practice located at 3031 W Grand Blvd , Detroit MI 48202-3046. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is her primary health care specialty. Miele, Colleen Larose can be contacted via phone (313) 916-3121.

Contact Information

Primary practice address
3031 W Grand Blvd Detroit MI 48202-3046
Phone: (313) 916-3121
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 4301061288 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301061288 Michigan
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 4301061288 Michigan

Profile Details

NPI number 1265431696
LBN Legal business name Miele, Colleen Larose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Nov 3rd, 2025 - about last year

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 1265431696 NPPES
Michigan MEDICAID 325523710

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