Individual
DR. PAMELA N. COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 337-0957
Mailing address
6896 W SNOWVILLE RD, BRECKSVILLE, OH 44141-3214
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301074886
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301074886
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102512592
BLUE CROSS BLUE SHIELD
MI
01
—
0B51090
BLUE SHIELD
MI
01
—
200000001792
PHP
MI
05
—
4723816
—
MI
05
—
4866416
—
MI
Enumeration date
07/20/2006
Last updated
12/26/2007
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