Provider Demographics
NPI:1154710812
Name:NATROP, COLIN LEE (DC)
Entity type:Individual
Prefix:DR
First Name:COLIN
Middle Name:LEE
Last Name:NATROP
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11901 ABERDEEN ST. NE
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55449
Mailing Address - Country:US
Mailing Address - Phone:763-404-6244
Mailing Address - Fax:763-785-4172
Practice Address - Street 1:2710 GREEN BASS RD
Practice Address - Street 2:
Practice Address - City:RHINELANDER
Practice Address - State:WI
Practice Address - Zip Code:54501-8154
Practice Address - Country:US
Practice Address - Phone:763-404-6244
Practice Address - Fax:763-785-4172
Is Sole Proprietor?:No
Enumeration Date:2015-01-20
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6038111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor