Individual
DR. CHRISTOPHER THOMAS COLLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
983 N COUNTRY CLUB RD, PERU, IN 46970-8646
(765) 460-5005
Mailing address
983 N COUNTRY CLUB RD, PERU, IN 46970-8646
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0000001608
TN
207L00000X
Anesthesiology Physician
Primary
02003340A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200903630
—
IN
Enumeration date
03/07/2006
Last updated
05/19/2023
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