Michael Tyler Colesar

Emergency Medicine Physician · Fort Richardson, AK

Individual Active NPI

NPI number 1659834836

Practice location

688 6TH St
Fort Richardson, AK 99505

Phone: (541) 399-1269

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NPI record

NPI: 1659834836
Entity type: Individual (Type 1)
Enumeration date: April 13, 2019
Last updated: December 15, 2022
Certified: December 13, 2022
Sole proprietor: Yes

Specialties & taxonomy codes

Taxonomy	Code	License	State
Emergency Medicine Physician Primary	`207P00000X`	195381	AK

Mailing address

1060 Gaffney Rd
Fort Wainwright, AK 99703-5002

Other practice locations (1)

3985 Country Pine Dr, Mount Hood Parkdale, OR 97041-9784 · (541) 399-1269

About Michael Colesar

Michael Tyler Colesar is a healthcare provider registered in the NPI registry with the primary taxonomy Emergency Medicine Physician (code 207P00000X). The practice location is 688 6TH St, Fort Richardson, AK 99505. The NPI number 1659834836 was assigned on April 13, 2019 and the record was last updated on December 15, 2022.

Michael Colesar lists a license in the registry: #195381 (AK) for Emergency Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Tyler Colesar?

The NPI number is 1659834836.

What is the phone number of Michael Colesar?

The phone number listed for the practice location is (541) 399-1269.

Where is Michael Colesar located?

688 6TH St, Fort Richardson, AK 99505.

What is the taxonomy code for Michael Colesar?

The primary taxonomy code is 207P00000X – Emergency Medicine Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.