Individual
DR. SEID COSOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
888 W BIG BEAVER RD, SUITE 309, TROY, MI 48084-4736
(248) 244-8700
(248) 244-8747
Mailing address
PO BOX 99160, TROY, MI 48099-9160
(248) 244-8700
(248) 244-8747
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
SC057395
MI
208VP0000X
Pain Medicine Physician
SC057395
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0806335011
BCBS
MI
05
—
3510124
—
MI
Enumeration date
12/06/2006
Last updated
01/20/2009
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