Individual
DR. MICHAEL GREGORY COODIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, CCFP, FCFP
Contact information
Practice address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 439-1234
Mailing address
10738 FALLING WATER LN UNIT B, WOODBURY, MN 55129-5328
(204) 996-0577
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
73468
MN
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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