Individual
DEMETRIUS COOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(517) 626-4980
Mailing address
17300 FAIRWAY DR, DETROIT, MI 48221-2704
(517) 626-4980
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704343501
MI
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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