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Individual

DR. COLIN IRISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1500 SANDPOINT RD, MUNISING, MI 49862-1406
(906) 387-4338
(906) 387-2825
Mailing address
1500 SANDPOINT RD, MUNISING, MI 49862-1406
(906) 387-4338
(906) 387-2825

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101014041
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114331997
MI
01
CI014041
BCBS LICENSE
MI
Enumeration date
12/13/2006
Last updated
05/06/2019
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