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Individual

DR. JEREMY DOUGLAS COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 1ST ST SW, ROCHESTER, MN 55905
(507) 284-2511
Mailing address
PO BOX 860912, PROVIDER ENROLLMENT - MCHS WI, MINNEAPOLIS, MN 55486-0912
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036122774
IL
2085R0202X
Diagnostic Radiology Physician
Primary
64497
MN
2085R0202X
Diagnostic Radiology Physician
71299
WI
2085R0204X
Vascular & Interventional Radiology Physician
036122774
IL

Other

Enumeration date
04/10/2007
Last updated
12/01/2025
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