Organization
MANITOU MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS COLES MD (OWNER)
(231) 352-7103
Entity
Organization
Contact information
Practice address
9975 W OTTAWA AVE, EMPIRE, MI 49630-9618
(231) 326-2300
(231) 326-2302
Mailing address
9975 W OTTAWA AVE, EMPIRE, MI 49630-9618
(231) 326-2300
(231) 326-2302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301048430
MI
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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