Individual
DR. MICHAEL JOSEPH COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
518 HARRISON ST, EMMAUS, PA 18049-2314
(610) 965-6458
(610) 965-6459
Mailing address
518 HARRISON ST, EMMAUS, PA 18049-2314
(610) 965-6458
(610) 965-6459
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS023165L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO129076
BLUE SHIELD
—
Enumeration date
06/21/2007
Last updated
07/08/2007
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