Individual
MICHAEL C. COELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16815 E JEFFERSON AVE STE 240, GROSSE POINTE, MI 48230-1923
(313) 473-4690
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1865
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301095394
MI
208600000X
Surgery Physician
L-228805
MA
Other
Enumeration date
02/26/2007
Last updated
07/14/2022
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