Individual
MR. JEFFREY ALAN COLLINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5900
(586) 573-5882
Mailing address
20348 ANITA ST, HARPER WOODS, MI 48225-1113
(313) 884-4209
(586) 573-5900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601001188
MI
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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