Organization
DARRYL COHEN, D.O.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRYL COHEN D.O. (AUTHORIZED REPRESENTATIVE)
(586) 916-0587
Entity
Organization
Contact information
Practice address
5442 SUNNYCREST DR, WEST BLOOMFIELD, MI 48323-3861
(586) 916-0587
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/17/2006
Last updated
09/19/2007
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