UPI (Provider ID): 11216
Change Report (if Any):

Short Name: COLEMAN - MEDI

Long Name 1: COLEMAN PROFESSIONAL SERVICES
Long Name 2:

Address 1: 246 NORTHLAND DRIVE RM 209
Address 2:

City: MEDINA
Zip Code: 44256
County: MEDI

Contact: THOMAS NEWTON
Title: CFO
Phone: 3306766850
FAX: 3306783677

Vendor: 8215

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016