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Individual

GERARD COULON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6725 SW 29TH ST, TOPEKA, KS 66614-5625
(785) 354-0517
(785) 478-1508
Mailing address
6725 SW 29TH ST, TOPEKA, KS 66614-5625
(785) 354-0517
(785) 478-1508

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
04-19528
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100138780C
KS
Enumeration date
12/01/2005
Last updated
01/31/2017
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