Individual
WALTER I COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
111 W DAYTON ST, FREMONT, MI 49412
(231) 924-3600
(231) 924-9720
Mailing address
111 W DAYTON ST, PO BOX 138, FREMONT, MI 49412-1112
(231) 924-3600
(231) 924-9720
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901018831
MI
Other
Enumeration date
04/26/2006
Last updated
05/29/2018
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