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NPI Code Detail

MEDICARE: BRENDAN M COLLINS DO

MEDICARE: BRENDAN M COLLINS DO
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
1207V00000XObstetrics & Gynecology PhysicianCT STATE PERMITCT
2390200000XStudent in an Organized Health Care Education/Training ProgramCT
3207V00000XObstetrics & Gynecology Physician5101022141MI

General Provider Information

NPI Number : 1831478353
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDAN M COLLINS DO
Provider Business Mailing Address
First Line : 181 EMMETT ST W
Second Line :
City : BATTLE CREEK
State : MI
Zip : 49037-2963
Country : US
Telephone Number : 269-966-2600
Fax Number : 269-965-4773
Provider Business Practice Location Address
First Line : 3238 CAPITAL AVE SW
Second Line :
City : BATTLE CREEK
State : MI
Zip : 49015-4302
Country : US
Telephone Number : 269-979-6432
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2011
Last Update Date : 07/18/2024

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