Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 898 | MN |
NPI | 1013221415 |
---|---|
Provider Name | Dr. Rachel Carolyn Collier |
First Address | Bloomington, MN 55425-4516 |
Second Address | Saint Paul, MN 55130-5302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2010 |
Last Update Date | 05/10/2020 |