Individual
STEPHEN D COHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2990 FRANKLIN AVE SW, GRANDVILLE, MI 49418-3505
(616) 530-3344
(616) 532-8040
Mailing address
PO BOX 936, GRANDVILLE, MI 49468-0936
(616) 530-3344
(616) 532-8040
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
4301044823
MI
207ZF0201X
Forensic Pathology Physician
Primary
4301044823
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4485062
—
MI
05
—
4485071
—
MI
Enumeration date
09/27/2005
Last updated
12/12/2023
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