Provider Demographics
NPI:1811975659
Name:COLLINGS, MATTHEW (MD)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:
Last Name:COLLINGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:26250 EUCLID AVE
Mailing Address - Street 2:STE 415
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44132-3305
Mailing Address - Country:US
Mailing Address - Phone:216-732-9480
Mailing Address - Fax:216-732-9483
Practice Address - Street 1:27000 HILLS TECH CT
Practice Address - Street 2:STE. 200
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-3412
Practice Address - Country:US
Practice Address - Phone:248-324-0700
Practice Address - Fax:248-324-1477
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35036549C207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0796830Medicaid
OHE91992Medicare UPIN
OH0796830Medicaid