Individual
MICHAEL WADE COOMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 CHURCH ST SE, BOYNTON HEALTH SERVICE, MINNEAPOLIS, MN 55455-0340
(612) 625-8400
Mailing address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22832
MN
Other
Enumeration date
11/12/2006
Last updated
07/08/2007
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