Individual
SUSANA MARIE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7926 PRESTON HWY STE 108, LOUISVILLE, KY 40219-3848
(502) 964-4357
Mailing address
1921 E 8 MILE RD, WARREN, MI 48091-2402
(586) 840-1333
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
R5696
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2021
Last updated
04/08/2026
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