Carly Coughlin
Carly Coughlin is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2025, 1 year ago. Accepts Medicare assignment.
- Years since qualifying
- 1
- In the registry since
- 2024
Practice location Address checks out
301 Michigan St NE Ste 200Grand Rapids, MI 49503-3314
Phone: (616) 331-5700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1972329951 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 25, 2024 |
| Last updated in NPPES | November 25, 2024 |
| Certification date | November 25, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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