MR. Michael Dean Couch, IDC

NPI #1184160483 in Groton, Connecticut

Provider Information

NPI Number
1184160483
Entity Type
Individual
Name
MR. Michael Dean Couch, IDC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Corpsman
Credential
IDC
Enumeration Date
Jan 10, 2017
Last Updated
Jan 10, 2017

Practice Location

Address
159 TROUT AVE
City
Groton
ZIP Code
06349-5159
Phone
(860) 581-0090

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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