Individual
PERRY G. COALMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5325 W BURLEIGH ST, MILWAUKEE, WI 53210-1623
(414) 488-9512
Mailing address
5325 W BURLEIGH ST, MILWAUKEE, WI 53210-1623
(920) 712-1428
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
30001
WI
Other
Enumeration date
02/21/2007
Last updated
05/02/2016
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