Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 52763 | MN |
NPI | 1023208295 |
---|---|
Provider Name | Dr. Margaret A Collins |
First Address | Saint Paul, MN 55110-5131 |
Second Address | Vadnais Heights, MN 55110-5131 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2007 |
Last Update Date | 02/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00030001117 | MEDICA (01) | MN |
070001053 | MEDICARE PTAN (01) | MN |
8GJ79CO | BLUE SHIELD (01) | MN |
P01199763 | RAILROAD MEDICARE (01) | MN |