Individual
MR. DEMIAN PATRICK COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
622 N GRAND TRAVERSE ST, FLINT, MI 48503-2408
(810) 884-9926
Mailing address
622 N GRAND TRAVERSE ST, FLINT, MI 48503-2408
(810) 884-9926
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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