Individual
VERN COAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
6561 M 72 NE, KALKASKA, MI 49646-9775
(231) 624-0075
(989) 348-0072
Mailing address
6561 M-72 N.E., KALKASKA, MI 49646
(231) 624-0075
(989) 348-0072
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703114191
MI
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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