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General NPI Number Information
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NPI Number | 1326003633
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Entity Type | Individual
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Provider Name | MICHAEL G COTANT M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 06/06/2023
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Provider Practice Location Address
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Address Line | 853 W WASHINGTON ST
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City | MARQUETTE
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State | MI
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Zip | 49855-4139
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Country | US
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Telephone | 906-255-7918
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Fax | 906-225-8764
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Provider Business Mailing Address
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Address Line | 1021 PILGRIM AVE
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City | BIRMINGHAM
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State | MI
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Zip | 48009-4612
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Country | US
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Telephone | 248-644-8637
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 4301052017
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License Number State | MI
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