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Individual

DR. STANLEY B COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
7633 E JEFFERSON AVE, 250, DETROIT, MI 48214
(313) 821-3338
(313) 823-5363
Mailing address
7633 E JEFFERSON AVE, 250, DETROIT, MI 48214
(313) 821-3338
(313) 823-5363

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC001139
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0H22765
BCBSM
MI
05
1582680
MI
Enumeration date
02/28/2006
Last updated
11/16/2007
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