RANDELL J COULTER

ROCHESTER, IN
NPI1689659732
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  02001541A)
Enumeration Date2005-12-13
Last Update Date2007-09-17
Business Address
Mr. RANDELL J COULTER D.O.
200 E 8TH ST
ROCHESTER, IN 46975-1614
Phone number: 574-936-2574
Mailing Address
Mr. RANDELL J COULTER D.O.
200 E 8TH ST
ROCHESTER, IN 46975-1614
Phone number: 574-936-2574