Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ethan Coucke, DO

Individual provider Internal Medicine Physician · NPI 1487188710

Ethan Coucke, DO is a Hospitalist in Petoskey, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2017, 9 years ago. Practices with McLaren Hospital Group, a 358-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2017
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

416 Connable Ave
Petoskey, MI 49770-2212
Phone: (231) 487-7969
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 5101023447 (MI)

Record details

NPI number1487188710
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 13, 2017
Last updated in NPPESNovember 29, 2022
Certification dateNovember 29, 2022
Mailing address15235 Hough Rd, Allenton, MI 48002-3613

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2017 (9 years in practice)
Group practice McLaren Hospital Group — 358 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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