Individual
AVI COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301114405
MI
207R00000X
Internal Medicine Physician
A132198
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301114405
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A132198
CA
207RP1001X
Pulmonary Disease Physician
Primary
4301114405
MI
207RP1001X
Pulmonary Disease Physician
A132198
CA
Other
Enumeration date
04/19/2012
Last updated
12/02/2019
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