# MARVIN L KOFENDER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780701466
- **Authorized official:** DR. MARVIN L KOFENDER MD (PRESIDENT)
- **Authorized official phone:** (248) 539-9084

## Contact information

- **Practice address:** 6900 ORCHARD LAKE RD, SUITE 207, WEST BLOOMFIELD, MI 48322-3405
- **Practice address phone:** (248) 539-9084
- **Practice address fax:** (248) 539-9088
- **Mailing address:** 6900 ORCHARD LAKE RD, SUITE 207, WEST BLOOMFIELD, MI 48322-3405
- **Mailing address phone:** (248) 539-9084
- **Mailing address fax:** (248) 539-9088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MK027675 | MI | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 08/22/2020