KATIE LEE COASTER

GROSSE POINTE, MI
NPI1750825709
Former NameKATIE LEE JOHNS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  4704277801)
Enumeration Date2016-12-10
Last Update Date2021-07-28
Business Address
KATIE LEE COASTER NP-C
468 CADIEUX RD
GROSSE POINTE, MI 48230-1507
Phone number: 313-473-1605
Mailing Address
KATIE LEE COASTER NP-C
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone number: