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Individual

DR. JAMES EDWARD COULTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4623 WESLEY AVE, SUITE P, CINCINNATI, OH 45212-2246
(513) 841-0777
(513) 841-0877
Mailing address
PO BOX 1239, TROY, MI 48099-1239
(248) 824-6600
(248) 324-1477

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.006105
OH
207QA0505X
Adult Medicine Physician
34.006105
OH

Other

Enumeration date
04/13/2007
Last updated
07/11/2013
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