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Collin Backowski
NPI 1700640695 · on the registry since 2024 · sole proprietor
Practice
- Address
- 26297 139th Ave
Fort Ripley, MN 56449 - Phone
- (320) 630-7967
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 101YM0800X
171M00000X - Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota