| Doctor Name: | DR. DONALD PAUL COUSINEAU |
| NPI Number: | 1841485133 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO, PC |
| License Number: | DC006878 |
| Business Practice Address: | 994 N Center Ave Gaylord, MI - 497359375 |
| Business Phone Number: | 9897327843 |
| Business Fax Number: | 9897314513 |
| Mailing Address: | 994 N Center Street, GAYLORD |
| State: | MI |
| Postal Code: | 49735 |
| Phone Number: | 9897327843 |
| Fax Number: | 9897314513 |
| NPI Enumeration Date: | 09/10/2007 |
| NPI Last Update Date: | 01/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | DC006878 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |