Individual
COLEMAN A STRAITON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1230 E MAIN ST, MANKATO, MN 56001-8001
(507) 625-1811
Mailing address
PO BOX 8674, MANKATO, MN 56002-8674
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7443
MN
Other
Enumeration date
06/04/2020
Last updated
12/20/2023
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