Individual
DR. DALE A COLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
854 WASHINGTON AVE STE 150, HOLLAND, MI 49423-7147
(616) 395-2853
(616) 393-5319
Mailing address
854 WASHINGTON AVE STE 150, HOLLAND, MI 49423-7147
(616) 395-2853
(616) 393-5319
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101013369
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
5101013369
MI
207RP1001X
Pulmonary Disease Physician
Primary
5101013369
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
5101013369
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4540244
—
MI
Enumeration date
12/09/2005
Last updated
03/03/2021
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