Individual
SUSAN BETTINA COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1518 MULBERRY AVE, MUSCATINE, IA 52761-3433
(563) 264-9424
(563) 264-9195
Mailing address
1518 MULBERRY AVE, MUSCATINE, IA 52761-3433
(563) 264-9424
(563) 264-9195
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
28863
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0739342
—
IA
Enumeration date
07/28/2006
Last updated
11/02/2007
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