MR. Michael Paul Coffman, IDC

NPI #1184883688 in Great Lakes, Illinois

Provider Information

NPI Number
1184883688
Entity Type
Individual
Name
MR. Michael Paul Coffman, IDC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Corpsman
Credential
IDC
Enumeration Date
Jun 9, 2008
Last Updated
Jun 9, 2008

Practice Location

Address
601 D STREET
ZIP Code
60088-2822
Phone
(847) 688-4903

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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