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General NPI Number Information
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NPI Number | 1649362872
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Entity Type | Organization
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Legal Business Name | STEVEN COHN MD
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3535 W 13 MILE ROAD SUITE 202
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City | ROYAL OAK
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State | MI
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Zip | 48073
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Country | US
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Telephone | 248-551-9595
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Fax | 248-288-1176
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Provider Business Mailing Address
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Address Line | PO BOX 77000 DEPT 771257
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City | DETROIT
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State | MI
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Zip | 48277
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Country | US
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Telephone | 248-551-9595
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Fax | 248-288-1176
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Authorized Official
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Title or Position | OWNER
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Name | STEVEN R COHN
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Credential | MD
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Telephone | 248-551-9595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4301406942
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License Number State | MI
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