Individual
DANA LEVON COATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1205 PROVIDENT DR STE A, WARSAW, IN 46580-3265
(574) 269-8383
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3513
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02001356A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100350960
—
IN
Enumeration date
04/21/2006
Last updated
12/15/2021
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