COLLIN JEFFERY BARRY

MINNEAPOLIS, MN
NPI1659986743
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  830523)
Additional Taxonomies363A00000X Physician Assistant
(Licence: IL  085009343)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-09-15
Last Update Date2025-04-09
Business Address
COLLIN JEFFERY BARRY
2220 E FRANKLIN AVE APT 315
MINNEAPOLIS, MN 55404-2284
Phone number: 262-496-8462
Mailing Address
COLLIN JEFFERY BARRY
2220 E FRANKLIN AVE APT 315
MINNEAPOLIS, MN 55404-2284
Phone number: 262-496-8462