| Doctor Name: | PERRY G. COALMON |
| NPI Number: | 1992840177 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 30001 |
| Business Practice Address: | 5325 W Burleigh St Milwaukee, WI - 532101623 |
| Business Phone Number: | 4144889512 |
| Business Fax Number: | |
| Mailing Address: | 5325 W Burleigh St, MILWAUKEE |
| State: | WI |
| Postal Code: | 532101623 |
| Phone Number: | 9207121428 |
| Fax Number: | |
| NPI Enumeration Date: | 02/21/2007 |
| NPI Last Update Date: | 05/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 30001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |