Individual
JEFFREY COUTURIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5450 FORT STREET, EMERGENCY MEDICINE DEPARTMENT, TRENTON, MI 48183-4601
(734) 671-3883
(734) 671-3546
Mailing address
38935 ANN ARBOR RD, CREDENTIALING/PAYER CONTRACTING, LIVONIA, MI 48150-3397
(734) 632-0175
(734) 632-0182
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101009737
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101009737
PHYSICAN LICENSE
MI
Enumeration date
07/11/2006
Last updated
06/14/2010
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