Individual
DR. JOHN R COLLOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7300 N CANTON CENTER RD, EMERGENCY MEDICINE DEPT, CANTON, MI 48187-1579
(734) 454-8002
(734) 454-2733
Mailing address
38935 ANN ARBOR RD, CREDENTIALING/PAYER CONTRACTING, LIVONIA, MI 48150-3397
(734) 632-0175
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101007293
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10432561167
—
MI
05
—
4661689
—
MI
05
—
4849246
—
MI
01
—
JC007293
BC/BS
MI
Enumeration date
06/20/2006
Last updated
08/12/2010
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