Individual
DR. MICHAEL A COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1996
WV
207RN0300X
Nephrology Physician
Primary
1996
WV
390200000X
Student in an Organized Health Care Education/Training Program
34.008972
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2657165
—
OH
05
—
3810006052
—
WV
05
—
710090970
—
KY
01
—
P00743179
MEDICARE RAILROAD
—
Enumeration date
08/09/2006
Last updated
04/23/2025
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