Individual
MATTHEW COLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3901 BEAUBIEN ST FL 1, DETROIT, MI 48201-2196
(313) 745-2443
(313) 745-5596
Mailing address
3901 BEAUBIEN ST FL 1, DETROIT, MI 48201-2196
(313) 745-2443
(313) 745-5596
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601012604
MI
363AS0400X
Surgical Physician Assistant
5601012604
MI
Other
Enumeration date
07/25/2024
Last updated
03/18/2025
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