Individual
DR. JOHN DOUGLAS COALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3701 FRANKLIN ST, MICHIGAN CITY, IN 46360-7310
(219) 872-8844
(219) 874-2872
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002563A 18002563B
IN
Other
Enumeration date
09/15/2006
Last updated
10/25/2021
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