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NPI Code Detail

MEDICARE: DREW V COLLINS MD PC

MEDICARE: DREW V COLLINS MD PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist4301079612MI

General Provider Information

NPI Number : 1629210224
Entity Type Code : Organization
Provider Name (Legal Business Name) : DREW V COLLINS MD PC
Provider Business Mailing Address
First Line : 1104 CASS ST
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-3236
Country : US
Telephone Number : 231-946-2214
Fax Number : 231-941-1347
Provider Business Practice Location Address
First Line : 1104 CASS ST
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-3236
Country : US
Telephone Number : 231-946-2214
Fax Number : 231-941-1347
Authorized Official
Title or Position : PHYSICIAN/OWNER
Name : DR. DREW V. COLLINS
Credential : M.D.
Telephone Number : 231-946-2214
Provider Enumeration Date : 03/27/2009
Last Update Date : 08/22/2011

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Directions to “DREW V COLLINS MD PC ” Practice Location

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