Individual
MICHAEL JOSEPH COCHENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
20990 LASER LN, SOUTH LYON, MI 48178-9229
(734) 972-3264
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704258454
MI
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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