Individual
GUY RICHARD COASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4000
Mailing address
709 GREEN CIR APT 101, ROCHESTER, MI 48307-6612
(248) 885-5049
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704282746
MI
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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