(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003293804
Provider Name: BLAKE ERVIN COLLISON MD
Entity Type: Individual
Taxonomy Code: 207P00000X
Specialty: Emergency Medicine
License Number: 63874
Most Important Dates
Enumeration Date: 04/30/2015
Last Updated: 06/22/2018
Provider Practice Location
407 E 3RD ST
DULUTH
MN
55805
Practice Location Phone/Fax
Phone: 2187864000
Fax:
Provider Mailing Location
1702 UNIVERSITY DR S
FARGO
ND
581034940
Provider Mailing Phone/Fax
Phone: 7013644222
Fax: