Individual
DAVID L COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3902 MONROE, DEARBORN HEIGHTS, MI 48125
(313) 562-1985
(313) 562-0380
Mailing address
3902 MONROE, DEARBORN HEIGHTS, MI 48125
(313) 562-1985
(313) 562-0380
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DC006823
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109509011
—
MI
01
—
120001978
RAILROAD MEDICARE TRAVELR
MI
01
—
5823656
BLUE CROSS OF MICHIGAN
MI
Enumeration date
04/28/2006
Last updated
06/10/2008
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