Individual
JOHNATHON MICHAEL COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-1020
Mailing address
11352 MILOANN ST, ARCADIA, CA 91006-5937
(626) 349-0383
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A178903
CA
Other
Enumeration date
04/18/2019
Last updated
05/09/2024
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