Russell Coulter, MD

NPI #1548227606 in Sparta, Illinois

Provider Information

NPI Number
1548227606
Entity Type
Individual
Name
Russell Coulter, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
MD
Enumeration Date
May 1, 2006
Last Updated
Jun 4, 2020

Practice Location

Address
FAMILY HEALTH CENTRE
Address 2
207 SOUTH BURNS AVE
City
Sparta
ZIP Code
62286
Phone
(618) 443-3084

Specialties & Taxonomy Codes

Specialty
Family Medicine

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