Individual
DR. MARVIN K COY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
722 S MAIN ST, CHEBOYGAN, MI 49721-2220
(231) 627-1493
(231) 627-1492
Mailing address
PO BOX 419, CHEBOYGAN, MI 49721-0419
(231) 627-1438
(231) 627-1471
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101008864
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1651600105
INDIVIDUAL BLUE CROSS
MI
05
—
4369439
—
MI
01
—
700A610040
GROUP BLUE CROSS
MI
Enumeration date
07/14/2006
Last updated
07/08/2007
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