Organization
DAVID L. COOLEY D.O. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L. COOLEY D.O. (OWNER / PHYSICIAN)
(313) 562-1985
Entity
Organization
Contact information
Practice address
3902 MONROE ST, DEARBORN HEIGHTS, MI 48125-2545
(313) 562-1985
(313) 562-0380
Mailing address
3902 MONROE ST, DEARBORN HEIGHTS, MI 48125-2545
(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
01
—
120001978
RAILROAD MEDICARE TRAVELERS
MI
Enumeration date
10/24/2006
Last updated
11/03/2014
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