Individual
MR. FLETCHER LEE COLLINS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
375 EUREKA RD STE B, WYANDOTTE, MI 48192-5839
(734) 258-8386
Mailing address
43544 CEDARHURST DR, VAN BUREN TOWNSHIP, MI 48111-4572
(313) 598-7523
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704346698
MI
Other
Enumeration date
09/26/2024
Last updated
09/30/2024
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