NPI 1316312176

Craig Coleman

Practitioner Rehabilitation Practitioner West Allis, WI

Practice location

Address: 2222 S 114th St, West Allis, WI 53227-1031
Phone: (414) 449-4444

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence C455-1178-7344-08 (WI)

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Registry record

NPI: 1316312176
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Dec 2015
Record last updated: 4 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.