ETHAN COUCKE

PETOSKEY, MI
NPI1487188710
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  5101023447)
Enumeration Date2017-04-13
Last Update Date2022-11-29
Business Address
ETHAN COUCKE DO
416 CONNABLE AVE
PETOSKEY, MI 49770-2212
Phone number: 231-487-7969
Mailing Address
ETHAN COUCKE DO
15235 HOUGH RD
ALLENTON, MI 48002-3613
Phone number: 810-656-1884
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