Doctor Name: | MRS. MARGARET COFFEN |
NPI Number: | 1083978605 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 419 Chippewa St Minocqua, WI - 545480182 |
Business Phone Number: | 7153565733 |
Business Fax Number: | 7153565733 |
Mailing Address: | Po Box 182, MINOCQUA |
State: | WI |
Postal Code: | 545480182 |
Phone Number: | 7153565733 |
Fax Number: | 7153565733 |
NPI Enumeration Date: | 06/28/2012 |
NPI Last Update Date: | 03/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |