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Individual

DR. MICHAEL COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 224-5170
(540) 983-8212
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
99999999999999999999
IL
2086S0102X
Surgical Critical Care Physician
Primary
0101274267
VA
390200000X
Student in an Organized Health Care Education/Training Program
FL

Other

Enumeration date
03/22/2016
Last updated
07/15/2022
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