Individual
MATTHEW EDWARD COTHRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2003 E 12 MILE RD, WARREN, MI 48092-5642
(586) 751-3600
(586) 751-1257
Mailing address
8529 HARDING, CENTER LINE, MI 48015-1557
(248) 238-6874
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303007534
MI
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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