Individual
BRENDA MARIE COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1522 JANES AVE, SAGINAW, MI 48601-1819
(989) 755-1316
(989) 755-0956
Mailing address
501 LAPEER, SAGINAW, MI 48607-1208
(989) 759-6464
(989) 399-8233
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301066408
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080130736
RAILROAD MEDICARE
—
01
—
080G310660
BLUE CARE NETWORK
MI
01
—
0983671
HEALTHPLUS OF MICHIGAN
MI
01
—
1010620
MCLAREN HEALTH PLAN
—
01
—
106
COMMUNITY CHOICE OF MI
MI
01
—
122817
GREAT LAKES HEALTH PLAN
—
05
—
1609864495
—
MI
01
—
3500576
MOLINA HEALTH CARE OF MI
MI
01
—
381908328
UNITED HEALTH CARE
—
01
—
5380695
AETNA
—
Enumeration date
10/06/2005
Last updated
04/08/2021
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