Individual
DR. MITCHELL AARON COHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1416 W MILHAM AVE, PORTAGE, MI 49024-2245
(269) 290-7700
(888) 807-1562
Mailing address
3700 52ND ST SE, GRAND RAPIDS, MI 49512-9637
(616) 656-3700
(616) 656-3701
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101012527
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-00603
PHYSICIANS HEALTH PLAN OF MID MICHIGAN
MI
01
—
5330177
BLUE CROSS/BLUE SHIELD
MI
Enumeration date
05/19/2008
Last updated
07/20/2016
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