Individual
DOREEN L COGGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 661-6470
Mailing address
2405 MIDDLEBELT RD, WEST BLOOMFIELD, MI 48324-1842
(248) 338-5919
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704076778
MI
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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