Individual
DR. MICHAEL A COSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 GOVERNORS DR SW STE 400, HUNTSVILLE, AL 35801-5183
(256) 265-7246
(256) 666-8655
Mailing address
PO BOX 242848, MONTGOMERY, AL 36124-2848
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
EC-05-009
ME
207L00000X
Anesthesiology Physician
MD29603
AL
207LP2900X
Pain Medicine (Anesthesiology) Physician
22757
MS
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
29603
AL
207LP2900X
Pain Medicine (Anesthesiology) Physician
C1-6125
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177119
—
AL
01
—
511-67941
BCBS
AL
01
—
8738368
CIGNA
AL
Enumeration date
11/30/2006
Last updated
08/29/2023
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