Individual
DR. JAY DANIEL COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
117 S BURGESS ST, WEST BRANCH, MI 48661-1403
(989) 345-2234
(989) 345-7066
Mailing address
117 S BURGESS ST, WEST BRANCH, MI 48661-1403
(989) 345-2234
(989) 345-7066
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
43010442486
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301042486
STATE CONTROLLED SUBSTANC
MI
05
—
4701891
—
MI
Enumeration date
10/13/2006
Last updated
03/07/2023
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