Individual
DR. CORY EDWARD COOKINGHAM SR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4260 S LINDEN RD, FLINT, MI 48507
(810) 733-3200
(810) 733-8835
Mailing address
4260 S LINDEN RD, FLINT, MI 48507
(810) 733-3200
(810) 733-8835
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
CC20919
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382812697100
—
MI
Enumeration date
05/24/2006
Last updated
07/08/2007
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