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Individual

DR. ALONSO COLLAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
405 W GREENLAWN AVE, STE 305, LANSING, MI 48910-2898
(517) 483-7544
(517) 483-4862
Mailing address
405 W GREENLAWN AVE, SUITE 305, LANSING, MI 48910-2898
(517) 483-7544
(517) 483-4862

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301043194
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1174521025
MI
Enumeration date
07/13/2005
Last updated
07/01/2010
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