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NPI Code Detail

MEDICARE: GABRIEL COLEMAN MD

MEDICARE: GABRIEL COLEMAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician79820AZ
2207RC0200XCritical Care Medicine (Internal Medicine) Physician79820AZ
3207P00000XEmergency Medicine Physician01095703AIN

General Provider Information

NPI Number : 1659067262
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIEL COLEMAN MD
Provider Business Mailing Address
First Line : 1501 N CAMPBELL AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85724-0001
Country : US
Telephone Number : 520-694-8888
Fax Number :
Provider Business Practice Location Address
First Line : 1000 OAKLAND DR
Second Line :
City : KALAMAZOO
State : MI
Zip : 49008-1282
Country : US
Telephone Number : 269-337-4600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2023
Last Update Date : 05/29/2026

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