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NPI Code Detail

MEDICARE: COLE FAMILY PRACTICE P C

MEDICARE: COLE FAMILY PRACTICE P C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianRC006764MI

General Provider Information

NPI Number : 1023288180
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLE FAMILY PRACTICE P C
Provider Business Mailing Address
First Line : 107 CHICAGO ST
Second Line :
City : BROOKLYN
State : MI
Zip : 49230-9703
Country : US
Telephone Number : 517-592-3277
Fax Number :
Provider Business Practice Location Address
First Line : 107 CHICAGO ST
Second Line :
City : BROOKLYN
State : MI
Zip : 49230-9703
Country : US
Telephone Number : 517-592-3277
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. RAYMOND E COLE
Credential : DO
Telephone Number : 517-592-3277
Provider Enumeration Date : 03/05/2008
Last Update Date : 03/31/2009

Similar Medicare Providers

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Practice Location Address:
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Directions to “COLE FAMILY PRACTICE P C ” Practice Location

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