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Individual

DR. ILYA KOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11800 E 12 MILE RD, DEPT. OF EMERGENCY MEDICINE, WARREN, MI 48093-3472
(586) 573-5059
(586) 573-5119
Mailing address
11800 E 12 MILE RD, DEPT. OF EMERGENCY MEDICINE, WARREN, MI 48093-3472

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35.132536
OH
207P00000X
Emergency Medicine Physician
Primary
4301092840
MI

Other

Enumeration date
12/19/2008
Last updated
10/13/2025
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