Individual
MR. MICHAEL GERALD COON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3232 W HOUGHTON LAKE DRIVE, HOUGHTON LAKE, MI 48629
(989) 366-6971
Mailing address
3232 W HOUGHTON LAKE DRIVE, HOUGHTON LAKE, MI 48629
(989) 366-6971
Taxonomy
Speciality
Code
Description
License number
State
126900000X
Dental Laboratory Technician
Primary
—
—
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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