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Individual
MICHAEL STEPHEN COOTER
Active
Individual
MICHAEL STEPHEN COOTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
20049
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00816916
RR MEDICARE
SC
01
—
P00836348
RR MEDICARE
SC
05
—
T41693
—
SC
Enumeration date
05/25/2006
Last updated
09/02/2021
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