Suzanne C Coffin in Traverse City - Medical
Suzanne C Coffin - NPI 1164598835
Suzanne C Coffin is a Medical in Traverse City, Michigan. Suzanne C Coffin practices all healthcare services and medical treatments related to Medical. The NPI Number for Suzanne C Coffin is 1164598835. The last update date is 2008-08-29.
Suzanne C Coffin's current location address is 4100 Park Forest Dr, Traverse City, Michigan. You can contact this provider via phone number 2319359060 and fax number 2319359045. The mailing address for Suzanne C Coffin is 4100 Park Forest Dr, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suzanne C Coffin |
|---|---|
| Address | 4100 Park Forest Dr, Traverse City, Michigan |
| Phone Number | 2319359060 |
| Fax Number | 2319359045 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1164598835 |
|---|---|
| Provider Enumeration Date | 2006-11-27 |
| Last Updated Date | 2008-08-29 |
Provider Mailing Address Detail
| Address | 4100 Park Forest Dr |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496847331 |
| Phone Number | 2319359060 |
| Fax Number | 2319359045 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 5601003399 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| OB81010 | MI | BCBSM |
Post Comment/ Review Below
What is the unique identifier code issued to Suzanne C Coffin by the Centers for Medicare & Medicaid Services (CMS)?
The Suzanne C Coffin has been assigned the NPI (National Provider Identifier) 1164598835. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Suzanne C Coffin?
The Suzanne C Coffin is situated at 4100 Park Forest Dr, in the city of Traverse City, state of MI, with the zip code 496847331.
What is the Suzanne C Coffin's specialty and taxonomy code?
The Suzanne C Coffin's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164598835 to Suzanne C Coffin?
The Centers for Medicare & Medicaid Services originally issued the 1164598835 to Suzanne C Coffin on 2006-11-27.
When was the information regarding Suzanne C Coffin most recently updated?
The details pertaining to the Suzanne C Coffin, including its address, specialty, and other relevant information, were last refreshed on 2008-08-29.