Individual
MICHELE M COSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1509 WILSON TER, GLENDALE, CA 91206-4007
(818) 409-8000
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G53840
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G538400
—
CA
Enumeration date
09/08/2005
Last updated
10/23/2015
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