Healthcare Provider Details

I. General information

NPI: 1992335152
Provider Name (Legal Business Name): CRISTINA COCCIA GALVAN NM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2020
Last Update Date: 12/26/2025
Certification Date: 12/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 N MILFORD RD STE 200
MILFORD MI
48381-1049
US

IV. Provider business mailing address

PO BOX 18998
BELFAST ME
04915-4084
US

V. Phone/Fax

Practice location:
  • Phone: 248-685-0444
  • Fax: 248-684-0900
Mailing address:
  • Phone: 469-803-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number4704271986
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: