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NPI Code Detail

MEDICARE: EMALEE R. COLEMAN MA, CES

MEDICARE:   EMALEE R. COLEMAN  MA, CES
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
1224Y00000XClinical Exercise Physiologist

General Provider Information

NPI Number : 1881979714
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMALEE R. COLEMAN MA, CES
Provider Business Mailing Address
First Line : 2501 W BELTLINE HWY
Second Line : SUITE 207
City : MADISON
State : WI
Zip : 53713-2318
Country : US
Telephone Number : 608-417-6102
Fax Number : 608-417-5770
Provider Business Practice Location Address
First Line : 2501 W BELTLINE HWY
Second Line : SUITE 207
City : MADISON
State : WI
Zip : 53713-2318
Country : US
Telephone Number : 608-417-6102
Fax Number : 608-417-5770
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2011
Last Update Date : 10/11/2011

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Directions to “ EMALEE R. COLEMAN MA, CES” Practice Location

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