Individual
MR. COLLIN MARKHAM COUSINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 E 28TH ST # MR 11112, MINNEAPOLIS, MN 55407-3723
(612) 863-4233
Mailing address
2829 UNIVERSITY AVE SE STE 730, MINNEAPOLIS, MN 55414-3279
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
165024
CA
207P00000X
Emergency Medicine Physician
Primary
73065
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2018
Last updated
06/06/2023
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