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Organization

GASTROENTEROLOGY ASSOCIATES OF WESTERN MICHIGAN PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALLAN COATES DO (PRINCIPLE)
(616) 450-2765
Entity
Organization

Contact information

Practice address
2093 HEALTH DRIVE, SUITE 201, WYOMING, MI 49519
(616) 452-7099
(616) 452-4142
Mailing address
2093 HEALTH DR SW STE 201, WYOMING, MI 49519-9691
(616) 328-5350
(616) 452-4142

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1093116048
MI
05
1134509532
MI
05
1588731087
MI
Enumeration date
11/29/2006
Last updated
03/06/2021
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