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1538135926
JASON G COISMAN
GREEN BAY, WI
NPI
1538135926
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 036-113102)
Enumeration Date
2006-02-24
Last Update Date
2008-09-29
Business Address
-- JASON G COISMAN DO
744 S WEBSTER AVE
GREEN BAY, WI 54301-3505
Phone number: 920-433-3500
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Mailing Address
-- JASON G COISMAN DO
6400 INDUSTRIAL LOOP
GREENDALE, WI 53129-2452
Phone number: 414-423-4100
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