Individual
DR. BENJAMIN ROBERT COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 E LAKE SHORE DR, DEPARTMENT OF PATHOLOGY, DECATUR, IL 62521-3810
(217) 464-2060
Mailing address
6465 BIRCHWOOD LANE, DECATUR, IL 62521
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01061533A
IN
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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