CHARLES GRANNIS COFFEY

SPOONER, WI
NPI1033158019
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  44970-020)
Enumeration Date2006-06-06
Last Update Date2007-07-08
Business Address
Dr. CHARLES GRANNIS COFFEY M.D.
819 ASH ST
SPOONER, WI 54801-1201
Phone number: 715-635-2111
Mailing Address
Dr. CHARLES GRANNIS COFFEY M.D.
339 E PATTON ST PO BOX 368
GOLCONDA, IL 62938-1050
Phone number: 877-593-4433
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