Individual
MR. WILLIE COLLINS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8104 E JEFFERSON AVE, C810, DETROIT, MI 48214-3967
(973) 841-3520
Mailing address
8104 E JEFFERSON AVE, C810, DETROIT, MI 48214-3967
(973) 841-3520
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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