Ethan Coucke, DO

Internal Medicine Physician · Petoskey, MI

Individual Active NPI

NPI number 1487188710

Practice location

416 Connable Ave
Petoskey, MI 49770-2212
Phone
(231) 487-7969

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NPI record

NPI
1487188710
Entity type
Individual (Type 1)
Enumeration date
April 13, 2017
Last updated
November 29, 2022
Certified
November 29, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X 5101023447 MI

Mailing address

15235 Hough Rd
Allenton, MI 48002-3613
Phone
(810) 656-1884

About Dr. Coucke

Ethan Coucke, DO is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 416 Connable Ave, Petoskey, MI 49770-2212. The NPI number 1487188710 was assigned on April 13, 2017 and the record was last updated on November 29, 2022.

Dr. Coucke lists a license in the registry: #5101023447 (MI) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ethan Coucke, DO?

The NPI number is 1487188710.

What is the phone number of Dr. Coucke?

The phone number listed for the practice location is (231) 487-7969.

Where is Dr. Coucke located?

416 Connable Ave, Petoskey, MI 49770-2212.

What is the taxonomy code for Dr. Coucke?

The primary taxonomy code is 207R00000X – Internal Medicine Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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