Individual
DR. GARY B COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
640 JACKSON ST.-MS 11502V, HEALTHPARTNERS REGIONS SPECIALTY CLINICS, ST. PAUL, MN 55101-2502
(651) 254-4870
(651) 254-4870
Mailing address
1000 GREENLEY RD, SONORA, CA 95370-5200
(209) 536-5000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
66130-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245286905
—
WI
Enumeration date
05/25/2006
Last updated
12/28/2024
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