Individual
DR. MERLIN K COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1805 S SR 57, WASHINGTON, IN 47501-4326
(812) 254-7845
Mailing address
PO BOX 760, WASHINGTON, IN 47501-0760
(812) 254-7310
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01027289A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000316884
ANTHEM
IN
01
—
080091371
MEDICARE RAILROAD
IN
05
—
100089260A
—
IN
01
—
CA5604
MEDICARE RAILROAD GROUP
IN
Enumeration date
03/08/2006
Last updated
01/18/2021
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