Individual
MR. COLIN DANIEL JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 BALL AVE, GRAND RAPIDS, MI 49505
(616) 430-2956
Mailing address
324 SWEET ST NE, GRAND RAPIDS, MI 49505
(616) 617-1351
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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