Individual
GARY T. COLLINS
Active
Individual
GARY T. COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35045187
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000141258
ANTHEM
OH
01
—
000000216338
ANTHEM
MI
01
—
00007
PHC
OH
01
—
0524756
BCMH
OH
05
—
0534756
—
OH
01
—
0633282
AETNA
OH
01
—
12-01285
UHC
OH
01
—
12-03666
UHC
MI
01
—
3505802341
BCBS MI
MI
01
—
370012693
RRMC
OH
01
—
4002372
AETNA
MI
Enumeration date
08/25/2005
Last updated
11/03/2023
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