Most Relevant Information
Provider Data
| NPI Number: | 1003310020 |
| Provider Name: | COLLIN MARKHAM COUSINS MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | 165024 |
Most Important Dates
| Enumeration Date: | 03/23/2018 |
| Last Updated: | 06/06/2023 |
Provider Practice Location
800 E 28TH ST # MR 11112
MINNEAPOLIS
MN
554073723
Practice Location Phone/Fax
| Phone: | 6128634233 |
| Fax: |
Provider Mailing Location
2829 UNIVERSITY AVE SE STE 730
MINNEAPOLIS
MN
554143279
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |