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1215220363
GLENN STEPHEN COATS
FORT WAYNE, IN
NPI
1215220363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: IN 01076627A)
Enumeration Date
2011-05-24
Last Update Date
2016-08-08
Business Address
GLENN STEPHEN COATS M.D.
5001 US HIGHWAY 30 W STE D
FORT WAYNE, IN 46818-9701
Phone number: 260-432-1568
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Mailing Address
GLENN STEPHEN COATS M.D.
PO BOX 80070
FORT WAYNE, IN 46898-0070
Phone number: 260-432-1568
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