Individual
MR. STEPHEN COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1684 FALLEN TIMBER ST NE, CANTON, OH 44721-3858
(330) 265-7099
Mailing address
1684 FALLEN TIMBER ST NE, CANTON, OH 44721-3858
(330) 265-7099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15412
OH
Other
Enumeration date
03/13/2014
Last updated
04/23/2023
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