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Individual

DR. MICHAEL LYNN COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
11332 MOUNTAIN VIEW AVE, SUITE A, LOMA LINDA, CA 92354-3854
(909) 796-3707
(909) 796-3707
Mailing address
PO BOX 1059, LOMA LINDA, CA 92354-1059
(909) 796-3707
(909) 796-3709

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E5146
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E5146
CA

Other

Enumeration date
06/30/2011
Last updated
04/30/2015
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