Individual
MICHAEL BENJAMIN COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-1009
(336) 716-2255
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-9609
(319) 384-9613
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
27765
IA
207ZP0101X
Anatomic Pathology Physician
Primary
2017-01085
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00649
WELLMARK BCBS
IA
05
—
006494
—
IA
05
—
1006494
—
IA
01
—
33928
WELLMARK BCBS
IA
Enumeration date
10/10/2005
Last updated
07/15/2020
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