Individual
MICHAEL COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4555 W SCHROEDER DR STE 140, BROWN DEER, WI 53223-1475
(414) 355-9000
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2858
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11705
WI
Other
Enumeration date
07/21/2011
Last updated
12/30/2020
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