Individual
DR. BRIAN H COHEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S..,M.D.
Contact information
Practice address
2120 MONROE ST, DEARBORN, MI 48124-2943
(313) 562-5800
(313) 562-6418
Mailing address
2120 MONROE ST, DEARBORN, MI 48124-2943
(313) 562-5800
(313) 562-6418
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
4301069256
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000002038
CAPE PIN NUMBER
MI
01
—
0N14730
HAP HMO PROVIDER NUMBER
MI
01
—
129802
CARE CHOICES PROVIDER NO.
MI
01
—
C7487
MCARE'S PROVIDER NUMBER
MI
Enumeration date
02/10/2006
Last updated
07/09/2007
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