Individual
DR. CAROL COUVRETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 LAKEWOOD CIRCLE, POLK CENTER, POLK, PA 16342
(814) 432-0446
Mailing address
658 FOREST LN, FRANKLIN, PA 16323-1818
(814) 437-2764
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD043817E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CO608978
—
PA
Enumeration date
06/15/2006
Last updated
05/01/2008
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