Individual
MICHAEL JOHN COONS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
909 E SAN MARNAN DRIVE, WATERLOO, IA 50702-5611
(319) 234-2616
(319) 234-1939
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 234-2616
(319) 234-1939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01769
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1199398
—
IA
01
—
421417307C7
JOHN DEERE HEALTH INS PLA
IA
01
—
48265
WELLMARK INS PLAN
IA
Enumeration date
05/26/2006
Last updated
07/08/2007
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