Individual
SAMANTHA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
3033 EXCELSIOR BLVD, MINNEAPOLIS, MN 55416-4688
(612) 345-5920
Mailing address
17260 ROUND LAKE RD, EDEN PRAIRIE, MN 55346-4353
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
1090
MN
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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