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Individual

DR. GARRICK COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
825 N CENTER AVE, GAYLORD, MI 49735-1592
(989) 731-2100
(989) 731-2205
Mailing address
825 N CENTER AVE, GAYLORD, MI 49735-1592
(989) 731-7708
(989) 731-7929

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02003753A
IN
207Q00000X
Family Medicine Physician
Primary
5101020823
MI
207Q00000X
Family Medicine Physician
E-7401
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OM72150
MEDICARE PTAN
MI
Enumeration date
06/17/2009
Last updated
11/16/2022
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