Richard Glenn Coleman, M.D.
Individual provider Active NPI General Practice Physician · Fennville, MI
NPI 1679998017 · NPPES record last updated Oct 8, 2025
Key facts
- NPI
- 1679998017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 4301032173 (MI)
- Practice address
- 7103 116TH Ave
Fennville, MI 49408-9730 - Phone
- (269) 227-3459
- NPI assigned
- Feb 21, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301032173 | MI | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 4301032173 | MI | Yes |
Addresses
Primary practice location
7103 116TH Ave
Fennville, MI 49408-9730
Mailing address
7103 116TH Ave
Fennville, MI 49408-9730
Phone (269) 227-3459
Other providers in Fennville, MI
- Kanani Baker
- Gloria Jean Braswell
- Courtney Renee Broderick
- Nicole Bustillos
- Thomas Harold Cassell
- Darshan M Collins
- Katelin Elizabeth Dekker
- Beth Durkee
- Fennville Al Operator LLC
- Margaret Ginzel
All providers in Fennville, MI · General Practice Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.