Individual
DR. CHARLES E. COFFEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
2799 W GRAND BLVD, CFP 417, HENRY FORD HOSPITAL, DETROIT, MI 48202-2608
(313) 916-8144
Mailing address
2799 W GRAND BLVD, CFP 417, HENRY FORD HOSPITAL, DETROIT, MI 48202-2608
(313) 916-8144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301095756
MI
207R00000X
Internal Medicine Physician
Primary
A101206
CA
Other
Enumeration date
09/18/2008
Last updated
01/18/2011
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