Individual
STEPHANIE W COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
96 OCEAN ST STE 4, SOUTH PORTLAND, ME 04106-2855
(207) 747-4455
(888) 907-5762
Mailing address
96 OCEAN ST STE 4, SOUTH PORTLAND, ME 04106-2855
(207) 747-4455
(888) 907-5762
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
DO1663
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254890099
—
ME
Enumeration date
12/15/2005
Last updated
10/14/2024
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