Individual
DR. ALYSSE JACLYN COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-3412
Mailing address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-3412
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301103393
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2013
Last updated
03/04/2019
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