Healthcare Provider Details

I. General information

NPI: 1093918062
Provider Name (Legal Business Name): DAVID B COTTON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17515 W 9 MILE RD SUITE 500
SOUTHFIELD MI
48075-4403
US

IV. Provider business mailing address

17515 W 9 MILE RD SUITE 500
SOUTHFIELD MI
48075-4403
US

V. Phone/Fax

Practice location:
  • Phone: 248-557-3700
  • Fax:
Mailing address:
  • Phone: 248-557-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number4301057286
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: