Walter I. Coleman, Dds, Pllc

NPI 1568777290 - Clinic/Center - 261QD0000X

NPI Details
NPI 1568777290
Enumeration Date 08/18/2010
Last Updated 08/18/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name WALTER WALTER
Position OWNER
Phone (231) 924-3600
Fax
Practice Location
111 W DAYTON ST
FREMONT MI, 49412-1112, US
Phone (231) 924-3600
Fax
Business Location
111 W DAYTON ST
FREMONT MI, 49412-1112, US
Phone (231) 924-3600
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State Michigan
License Number 2901018831
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According to our database, Walter I. Coleman, Dds, Pllc NPI is 1568777290, taxonomy code is 261QD0000X and license number is 2901018831, license state is located at Michigan. Walter I. Coleman, Dds, Pllc physically located at 111 W Dayton St, Fremont MI, 49412-1112. NPI Number 1033115704 has the healthcare provider type.

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1568777290 NPI number is provided on an as is basis without warranty of any kind. 1568777290 is maintained by the National Plan & Provider Enumeration System. The contents of Walter I. Coleman, Dds, Pllc are for informational purposes only.