Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edgar (Ted) King Collison IV, MD

Individual provider Surgery Physician · NPI 1043541154

Edgar (Ted) King Collison IV, MD is a Surgery Physician in Green Bay, Wisconsin. Practices as a sole proprietor. Licensed in Illinois and Wisconsin.

Licensed in
IL, WI
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1715 Dousman St
Green Bay, WI 54303-3211
Phone: (920) 496-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 54369-020 (WI)
Surgery Physician Taxonomy 208600000X · Licence 336.084547 (IL)

Record details

NPI number1043541154
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 29, 2010
Last updated in NPPESDecember 16, 2021
Certification dateDecember 16, 2021

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