NPI 1003293804
Blake Ervin Collison, MD
Practice location
- Address
- 407 E 3rd St, Duluth, MN 55805
- Phone
- (218) 786-4000
- Mailing address
- 1702 University Dr S, Fargo, ND 58103-4940
Registered specialties (2)
Emergency Medicine Physician
Primary
Student in an Organized Health Care Education/Training Program
Registry record
- NPI
- 1003293804
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Apr 2015
- Record last updated
- 22 Jun 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.