Individual
DR. SUZANNE M COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3124 E STATE BLVD STE 2B, FORT WAYNE, IN 46805-4763
(260) 483-6373
Mailing address
3420 KIRKFIELD DR, FORT WAYNE, IN 46815-5972
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
01061701A
IN
207Q00000X
Family Medicine Physician
Primary
01061701A
IN
Other
Enumeration date
09/25/2006
Last updated
02/19/2008
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