Individual
MICHAEL COULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 WEST BELVEDERE AVE, BALTIMORE, MD 21215
(410) 601-5838
(410) 601-9744
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2358
(516) 945-3000
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R185822
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214135300
—
MD
Enumeration date
01/22/2015
Last updated
03/27/2015
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