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Individual

ANNETTE M COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
14033 COMMERCE AVE NE, PRIOR LAKE, MN 55372
(952) 447-0985
(952) 447-0986
Mailing address
14033 COMMERCE AVE NE, PRIOR LAKE, MN 55372
(952) 447-0985
(952) 447-0986

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4285
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
991S9C0
BCBS
MN
Enumeration date
04/23/2007
Last updated
07/08/2007
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