Individual
DR. STEPHEN ANDREW COULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13400 N MERIDIAN ST STE 302, CARMEL, IN 46032-7104
(317) 415-6050
(317) 415-6060
Mailing address
1115 MARGATE LN, LIBERTYVILLE, IL 60048-2441
(847) 910-2850
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-098320
IL
207R00000X
Internal Medicine Physician
Primary
01091281A
IN
207R00000X
Internal Medicine Physician
036-098320
IL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
036-098320
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036-098320
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360983202
—
IL
Enumeration date
08/11/2005
Last updated
08/19/2025
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