Individual
COLLEEN M. DARGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 19401 HUBBARD DRIVE, DEARBORN, MI 48126
(313) 982-8261
(313) 982-8205
Mailing address
HENRY FORD HEALTH SYSTEM, 19401 HUBBARD DRIVE, DEARBORN, MI 48126
(313) 982-8261
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
053181
MI
207L00000X
Anesthesiology Physician
Primary
4301053181
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273660010
—
MI
01
—
700H262180
BLUE CROSS-BLUE CROSS
—
01
—
CD053181
CHAMPUS-CHAMPUS
—
Enumeration date
11/17/2006
Last updated
10/24/2022
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