Individual
JULIE COYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
707 N MICHIGAN ST STE 400, SOUTH BEND, IN 46601-1071
(574) 647-8470
(574) 647-8475
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
(574) 237-6069
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01078919A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300013262
—
IN
Enumeration date
06/16/2014
Last updated
03/31/2021
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