Individual
DR. JACOB DOUGLAS COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4300 MARKET PTE DR STE 100, BLOOMINGTON, MN 55435-5435
(612) 209-5115
Mailing address
4300 MARKET PTE DR STE 100, BLOOMINGTON, MN 55435-5435
(952) 767-4574
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
74134
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2020
Last updated
08/07/2023
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