Individual
MICHAEL COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 MERCY DR, DUBUQUE, IA 52001-7320
(563) 589-8902
Mailing address
250 MERCY DR, DUBUQUE, IA 52001-7320
(563) 589-8902
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24304
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311705174
—
IA
Enumeration date
10/18/2021
Last updated
12/13/2021
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