Organization
COTTAB MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK CHARLES M.D. (PRESIDENT)
(313) 369-5765
Entity
Organization
Contact information
Practice address
4777 E OUTER DR, DETROIT, MI 48234-3241
(313) 369-5700
Mailing address
PO BOX 36958, GROSSE POINTE, MI 48236-0958
(313) 369-5765
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
MI
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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