Individual
COLLIN JEFFERY BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2220 E FRANKLIN AVE APT 315, MINNEAPOLIS, MN 55404-2284
(262) 496-8462
Mailing address
2220 E FRANKLIN AVE APT 315, MINNEAPOLIS, MN 55404-2284
(262) 496-8462
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085009343
IL
363A00000X
Physician Assistant
Primary
830523
WI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
09/15/2020
Last updated
04/09/2025
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