Individual
MARK ALAN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 E MAIN ST, DANVILLE, IN 46122-1948
(317) 745-4451
(317) 718-6740
Mailing address
1100 SOUTHFIELD DR, STE 1370, PLAINFIELD, IN 46168-4300
(317) 837-5566
(317) 837-5580
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01067068
IN
390200000X
Student in an Organized Health Care Education/Training Program
11014460A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201016010
—
IN
Enumeration date
06/30/2008
Last updated
03/31/2021
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