Individual
JOHN THOMAS COATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
855 S MAIN ST, OCONTO FALLS, WI 54154-1241
(920) 846-3444
(920) 846-0250
Mailing address
5725 SANDPIPER DR, STEVENS POINT, WI 54481-8472
(715) 572-4577
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25222-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11014110
—
WI
01
—
1851477913
NPI
WI
01
—
390848401050
ANTHEM
WI
Enumeration date
07/24/2006
Last updated
12/07/2010
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