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NPI Code Detail

MEDICARE: HOWARD MARSHALL MCCOLLISTER MD

MEDICARE: HOWARD MARSHALL MCCOLLISTER MD
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
1208600000XSurgery Physician26860MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306820154
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOWARD MARSHALL MCCOLLISTER MD
Provider Business Mailing Address
First Line : 320 E MAIN ST
Second Line : CUYUNA REGIONAL MEDICAL CENTER
City : CROSBY
State : MN
Zip : 56441-1645
Country : US
Telephone Number : 218-546-7000
Fax Number : 218-545-4456
Provider Business Practice Location Address
First Line : 320 E MAIN ST
Second Line : CUYUNA REGIONAL MEDICAL CENTER
City : CROSBY
State : MN
Zip : 56441-1645
Country : US
Telephone Number : 218-546-7000
Fax Number : 218-545-4456
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 11/19/2020

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Directions to “ HOWARD MARSHALL MCCOLLISTER MD” Practice Location

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