Individual
EVAN COSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3361 BIRCHWOOD ST, TRENTON, MI 48183-3682
(734) 785-2168
Mailing address
3361 BIRCHWOOD ST, TRENTON, MI 48183-3682
(734) 785-2168
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/14/2016
Last updated
08/22/2023
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