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Individual

DR. JOHN MICHAEL COLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
347 NORTH SMITH AVE, SUITE 505, SAINT PAUL, MN 55102-3367
(651) 220-6260
(651) 220-7777
Mailing address
4770 WHITE BEAR PARKWAY, LL, WHITE BEAR LAKE, MN 55110-3394
(651) 426-0698
(651) 426-6439

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MN24195
MN
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
24195
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
357705800
MN
Enumeration date
03/23/2006
Last updated
03/07/2023
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