Individual
DR. MARGARET A COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3555 WILLOW LAKE BLVD, SUITE 240, VADNAIS HEIGHTS, MN 55110-5131
(651) 770-0110
(651) 770-0134
Mailing address
3555 WILLOW LAKE BLVD, SUITE 240, SAINT PAUL, MN 55110-5131
(651) 770-0110
(651) 770-0134
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
52763
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00030001117
MEDICA
MN
01
—
070001053
MEDICARE PTAN
MN
01
—
8GJ79CO
BLUE SHIELD
MN
01
—
P01199763
RAILROAD MEDICARE
MN
Enumeration date
07/25/2007
Last updated
10/02/2013
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