Provider Demographics
NPI:1386955904
Name:COAN, MICHAEL C (DO)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:C
Last Name:COAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:105 W 8TH AVE STE 6080
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2313
Mailing Address - Country:US
Mailing Address - Phone:509-838-6500
Mailing Address - Fax:509-838-6561
Practice Address - Street 1:105 W 8TH AVE STE 6080
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2313
Practice Address - Country:US
Practice Address - Phone:509-838-6500
Practice Address - Fax:509-838-6561
Is Sole Proprietor?:No
Enumeration Date:2010-06-29
Last Update Date:2020-03-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IDO0917207RR0500X
WAOP60291975207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology