Provider Demographics
NPI:1962452821
Name:COLLINS, MICHAEL PETER (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:PETER
Last Name:COLLINS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2325 GARFIELD RD N
Mailing Address - Street 2:GRAND TRAVERSE COUNTY HEALTH DEPARTME
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49686-5127
Mailing Address - Country:US
Mailing Address - Phone:231-922-2747
Mailing Address - Fax:231-922-2719
Practice Address - Street 1:2325 GARFIELD RD N
Practice Address - Street 2:GRAND TRAVERSE COUNTY HEALTH DEPARTMENT
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49686-5127
Practice Address - Country:US
Practice Address - Phone:231-922-2747
Practice Address - Fax:231-922-2719
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2012-02-15
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Provider Licenses
StateLicense IDTaxonomies
MI4301028725207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology