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Individual
DR. MARVIN L KOFENDER
Active
Individual
DR. MARVIN L KOFENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME83376
FL
207R00000X
Internal Medicine Physician
Primary
MK027675
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102105736
—
MI
01
—
110F374710
BCBS
MI
05
—
280556100
—
FL
01
—
C1649
MCARE
MI
01
—
P118047
CARE CHOICES
MI
Enumeration date
08/09/2006
Last updated
05/12/2010
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