Individual
KATHRYN COSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
18181 OAKWOOD BLVD, SUITE 206, DEARBORN, MI 48124-5032
(313) 593-1573
Mailing address
2006 HOGBACK RD 5A, ANN ARBOR, MI 48105-9750
(734) 786-2317
(734) 786-4977
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4704096267
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114641990
—
MI
01
—
P00084649
RAILROAD MEDICARE
MI
Enumeration date
08/09/2006
Last updated
12/03/2015
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