Individual provider · Type 1 NPI

Coty Buchwalter, DO

Student in an Organized Health Care Education/Training Program · St. Joseph, MI

NPI number 1053006601 Active

Practice location

1234 Napier Ave
St. Joseph, MI 49085-2112

Mailing address

222 W Maple St Apt 1207
Jeffersonville, IN 47130-3508

Other practice locations

  • 85 E US Highway 6, Valparaiso, IN 46383-8947 · (219) 983-8300

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X02008865A (IN)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053006601

Coty Buchwalter, DO's National Provider Identifier is 1053006601, issued on Apr 10, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Joseph, MI. The record was last updated on Jun 26, 2026.