GARY H COLLER DO PC NPI 1225208911

NPI Information

NPI: 1225208911
Provider Name: GARY H COLLER DO PC

Doing Business As: INTEGRATIVE HEALTHCARE CENTER

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
300 S STATE ST
#5
ZEELAND, MI
ZIP 49464
Phone: (616) 772-0700
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GARY H COLLER DO PC is a primary care clinic center in Zeeland, MI. GARY H COLLER DO PC NPI is 1225208911. The provider is registered as an organization entity type.
The provider Is Doing Business As Integrative Healthcare Center.

The provider's business location address is:

300 S STATE ST
#5
ZEELAND, MI
ZIP 49464-676
Phone: (616) 772-0700
Fax: (616) 772-0777

The provider's authorized official is Gary H Coller .
The authorized official title is President and has the following contact phone number (616) 772-0700.

The enumeration date for this NPI number is 3/10/2008 and was last updated on 3/10/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	5101007512	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5612614	MEDICARE PIN	MICHIGAN
2	E25893	MEDICARE UPIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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