Individual
MR. COULTON MICHAEL WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
33300 CLEVELAND CLINIC BLVD, AVON, OH 44011
(800) 223-2273
Mailing address
33300 CLEVELAND CLINIC BLVD, AVON, OH 44011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004799RX
OH
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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