Provider Demographics
NPI:1023208295
Name:COLLINS, MARGARET A (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:A
Last Name:COLLINS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3555 WILLOW LAKE BLVD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55110-5131
Mailing Address - Country:US
Mailing Address - Phone:651-770-0110
Mailing Address - Fax:651-770-0134
Practice Address - Street 1:3555 WILLOW LAKE BLVD
Practice Address - Street 2:SUITE 240
Practice Address - City:VADNAIS HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55110-5131
Practice Address - Country:US
Practice Address - Phone:651-770-0110
Practice Address - Fax:651-770-0134
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2013-10-02
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Provider Licenses
StateLicense IDTaxonomies
MN52763207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN070001053OtherMEDICARE PTAN
MN8GJ79COOtherBLUE SHIELD
MNP01199763OtherRAILROAD MEDICARE
MN00030001117OtherMEDICA