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Colton Funk
NPI 1942659040 · on the registry since 2016 · sole proprietor
Practice
- Address
- 405 Emmet St
Charlottesville, VA 22904 - Phone
- (715) 490-1835
Additional practice sites
- 1520 Saint Olaf Ave, Northfield, MN
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
- Licence states on file
- VA, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia