Individual
COLLIN PROKSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5529 BEL SHORE LN, SCHOOLCRAFT, MI 49087-8105
(269) 532-4855
Mailing address
5529 BEL SHORE LN, SCHOOLCRAFT, MI 49087-8105
(269) 532-4855
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
5302042676
MI
Other
Enumeration date
04/23/2017
Last updated
04/23/2017
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