JACOB COUGHLIN

KALAMAZOO, MI
NPI1396025805
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601006106)
Enumeration Date2011-08-29
Last Update Date2023-02-09
Business Address
Mr. JACOB COUGHLIN PA-C
4613 W MAIN ST STE A
KALAMAZOO, MI 49006-2698
Phone number: 269-488-8672
Mailing Address
Mr. JACOB COUGHLIN PA-C
601 JOHN STREET BOX 42
KALAMAZOO, MI 49007
Phone number: