Individual
ERIN COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(847) 719-2220
Mailing address
3880 SALEM LAKE DR, STE F, LONG GROVE, IL 60047-5292
(847) 719-2220
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704240278
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200000024341
PHP
MI
01
—
5008709650
BCBS
MI
Enumeration date
11/24/2009
Last updated
07/30/2013
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