Individual
DAVID EUGENE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1855 S KOELLER ST, OSHKOSH, WI 54902-6186
(920) 223-4410
Mailing address
4425 N PORT WASHINGTON RD, ASCENSION CORP, GLENDALE, WI 53212-1082
(414) 326-2218
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
—
WI
207P00000X
Emergency Medicine Physician
25223
WI
207Q00000X
Family Medicine Physician
Primary
25223-020
WI
208600000X
Surgery Physician
25223-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30527900
—
WI
Enumeration date
08/03/2005
Last updated
01/05/2017
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