Individual
JACK COLLERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
606 24TH AVE S STE 400, MINNEAPOLIS, MN 55454-1517
(612) 273-6866
Mailing address
606 24TH AVE S STE 400, MINNEAPOLIS, MN 55454-1517
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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