Individual
CHRISTOPHER COULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 MEDICAL PARK DR SUITE, DOVER, OH 44622
(740) 498-5515
Mailing address
PO BOX 57, WEST LAFAYETTE, OH 43845-0057
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34007886
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2492039
—
OH
Enumeration date
07/13/2006
Last updated
04/01/2014
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