# DORWYN CRAIG COLLIER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1326160425
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 02001521A | IN | — |
| 2083P0500X | Preventive Medicine/Occupational Environmental Medicine Physician | 02001521A | IN | — |
| 208D00000X | General Practice Physician | 02001521A | IN | Yes |

## Other

- **Enumeration date:** 04/06/2007
- **Last updated:** 11/30/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 02001521A | LICENSE NUMBER | IN |
| 05 | — | 200097620 | — | IN |