Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | DC005127 | MI |
NPI | 1003896481 |
---|---|
Provider Name | Don U Collier |
First Address | Warren, MI 48088-3671 |
Second Address | Warren, MI 48088-3671 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2006 |
Last Update Date | 26/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1414370 | (05) | MI |
E25663 | (02) | MI |