Individual
DR. ALISON J COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3440 129TH AVENUE NW, COON RAPIDS, MN 55448
(763) 862-6939
(763) 862-6940
Mailing address
3440 129TH AVENUE NW, COON RAPIDS, MN 55448
(763) 862-6939
(763) 862-6940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30082
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2057004
—
MN
Enumeration date
07/14/2006
Last updated
07/08/2007
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