Individual
DR. MAXIME JEAN-MARIE COLES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1411 W 4TH ST, BUILDING C, COFFEYVILLE, KS 67337-3300
(620) 251-3838
(620) 251-0736
Mailing address
PO BOX 1176, COFFEYVILLE, KS 67337-0919
(620) 251-3838
(620) 251-0736
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
04-31291
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-31291
MEDICAL LICENSE
KS
01
—
2003025339
MEDICAL LICENSE
MO
01
—
26249
MEDICAL LICENSE
CT
01
—
269-384-4
ECFMG
—
Enumeration date
07/07/2005
Last updated
07/08/2007
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