Individual
MEGAN COULTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 BUCKINGHAM RD, CANTON, MI 48188-1519
(734) 891-3975
Mailing address
600 BUCKINGHAM RD, CANTON, MI 48188-1519
(734) 891-3975
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/14/2016
Last updated
11/07/2022
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