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JOHN FINTAN COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14650 E OLD US HIGHWAY 12, CHELSEA, MI 48118-1801
(734) 936-5738
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301062257
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020D710010
BCBS GROUP PIN
MI
05
1992746507
MI
Enumeration date
06/08/2006
Last updated
02/15/2024
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