Individual
DR. MICHAEL WAYNE COLEMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
606 N COLLEGE ST, ALBANY, MO 64402-1432
(660) 726-5592
(660) 726-3992
Mailing address
606 N COLLEGE ST, ALBANY, MO 64402-1432
(660) 726-5592
(660) 726-3992
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
110838
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25664031
BLUE CROSS BLUE SHIELD
MO
Enumeration date
07/07/2005
Last updated
07/08/2007
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