Individual
SANDRICKA N COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 836-4570
(219) 836-6380
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
02007376A
IN
207V00000X
Obstetrics & Gynecology Physician
036.153905
IL
207V00000X
Obstetrics & Gynecology Physician
036153905
IL
390200000X
Student in an Organized Health Care Education/Training Program
UO4475
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103135342
ANTHEM
IN
05
—
300078377
—
IN
Enumeration date
05/26/2015
Last updated
09/11/2023
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