Individual
DORWYN CRAIG COLLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3100 WINDSOR COURT, ELKHART, IN 46514
(574) 266-6555
(574) 266-6888
Mailing address
3100 WINDSOR COURT, ELKHART, IN 46514
(574) 266-6555
(574) 266-6888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02001521A
IN
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
02001521A
IN
208D00000X
General Practice Physician
Primary
02001521A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02001521A
LICENSE NUMBER
IN
05
—
200097620
—
IN
Enumeration date
04/06/2007
Last updated
11/30/2009
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