Individual
DR. DAVID JAMES COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDM
Contact information
Practice address
933 ERIE AVE, SUITE #10, SHEBOYGAN, WI 53081
(920) 452-1242
(920) 452-1703
Mailing address
933 ERIE AVE, SUITE #10, SHEBOYGAN, WI 53081
(920) 452-1242
(920) 452-1703
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0002993
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33445700
—
WI
Enumeration date
09/07/2006
Last updated
07/08/2007
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