# DONALD P. COUSINEAU DO PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386645851
- **Authorized official:** DR. DONALD PAUL COUSINEAU DO (PHYSICIAN)
- **Authorized official phone:** (989) 732-7843

## Contact information

- **Practice address:** 994 N CENTER AVE, GAYLORD, MI 49735-9375
- **Practice address phone:** (989) 732-7843
- **Practice address fax:** (989) 731-4513
- **Mailing address:** 994 N CENTER AVE, GAYLORD, MI 49735-9375
- **Mailing address phone:** (989) 732-7843
- **Mailing address fax:** (989) 731-4513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | DC006878 | MI | Yes |

## Other

- **Enumeration date:** 08/09/2005
- **Last updated:** 03/26/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1089781 | — | MI |