| Walter I. Coleman, Dds, Pllc | |
|
111 W Dayton St Fremont MI 49412-1112 | |
| (231) 924-3600 | |
| Not Available |
| Full Name | Walter I. Coleman, Dds, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 111 W Dayton St, Fremont, Michigan |
| Authorized Official Name and Position | Walter Coleman (OWNER) |
| Authorized Official Contact | 6166060337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walter I. Coleman, Dds, Pllc 111 W Dayton St Fremont MI 49412-1112 Ph: (231) 924-3600 | Walter I. Coleman, Dds, Pllc 111 W Dayton St Fremont MI 49412-1112 Ph: (231) 924-3600 |
| NPI Number | 1568777290 |
|---|---|
| Provider Enumeration Date | 08/18/2010 |
| Last Update Date | 08/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568777290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2901018831 (Michigan) | Primary |
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