Individual
COOPER N PHIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
4701 TOWNE CENTRE RD STE 203, SAGINAW, MI 48604-2833
(989) 792-2792
Mailing address
1545 SAUK LN, SAGINAW, MI 48638-5541
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704369247
MI
Other
Enumeration date
04/08/2024
Last updated
04/23/2024
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