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NPI Code Detail

MEDICARE: BLAKE COLLIER

MEDICARE: BLAKE COLLIER
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
1207P00000XEmergency Medicine Physician5101021328MI
2207P00000XEmergency Medicine PhysicianR6989TX

General Provider Information

NPI Number : 1427462704
Entity Type Code : Individual
Provider Name (Legal Business Name) : BLAKE COLLIER
Provider Business Mailing Address
First Line : 1234 NAPIER AVE
Second Line :
City : SAINT JOSEPH
State : MI
Zip : 49085-2112
Country : US
Telephone Number : 269-982-4941
Fax Number :
Provider Business Practice Location Address
First Line : 1234 NAPIER AVE
Second Line :
City : SAINT JOSEPH
State : MI
Zip : 49085-2112
Country : US
Telephone Number : 269-982-4941
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2014
Last Update Date : 03/13/2026

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Directions to “ BLAKE COLLIER ” Practice Location

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