Individual
DR. LOUIE COULIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1414 N TAYLOR DR, SHEBOYGAN, WI 53081-1988
(920) 458-9800
(920) 458-9882
Mailing address
1414 N TAYLOR DR, SHEBOYGAN, WI 53081-1988
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
34045
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21290500
—
WI
05
—
31915100
—
WI
Enumeration date
04/03/2006
Last updated
04/23/2024
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