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Individual

DR. PATRICK S COSGROVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
221 US HIGHWAY 41 STE I, SCHERERVILLE, IN 46375-1278
(219) 864-3950
(219) 864-3952
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02002075A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200243250
IN
01
473060K9
MEDICARE
IN
Enumeration date
06/05/2006
Last updated
04/26/2023
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