Individual
COLIN IRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(714) 686-2633
Mailing address
2646 ANDOVER AVE APT B, FULLERTON, CA 92831-5700
(714) 686-2633
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
5315071195
MI
207P00000X
Emergency Medicine Physician
17651
CA
207P00000X
Emergency Medicine Physician
DO01065
RI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
5101021872
MI
Other
Enumeration date
06/09/2015
Last updated
05/10/2024
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