MEDICARE: DR. TAMMI COOPER M.D.

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
1	207R00000X	Internal Medicine Physician	4301069455	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0633928	OTHER	MI	BCBS INDIVIDUAL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	110F375900	OTHER	MI	BLUE SHIELD

General Provider Information

NPI Number	:	1619952975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAMMI COOPER M.D.

Provider Business Mailing Address
First Line	:	5821 W MAPLE RD
Second Line	:	SUITE 190
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-2275
Country	:	US
Telephone Number	:	248-855-0407
Fax Number	:	248-855-1323

Provider Business Practice Location Address
First Line	:	5821 W MAPLE RD
Second Line	:	SUITE 190
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-2275
Country	:	US
Telephone Number	:	248-855-0407
Fax Number	:	248-855-1323

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2005
Last Update Date	:	02/16/2011

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1578408837 — JASON THOMAS PHILLIPS
Practice Location Address:

5821 W MAPLE RD STE 195
WEST BLOOMFIELD, MI
48322-2275

Practice Phone: 248-831-0293
Practice Fax:

1336760503 — DIANE MARIE RITTER BCABA
Practice Location Address:

5821 W MAPLE RD
WEST BLOOMFIELD, MI
48322-2275

Practice Phone: 248-831-0293
Practice Fax:

1720062334 — DR. SETH M MINDELL M.D.
Practice Location Address:

5821 W MAPLE RD , SUITE 190
WEST BLOOMFIELD, MI
48322-2275

Practice Phone: 248-855-0407
Practice Fax: 248-855-1323

1649255217 — DR. DAVID ROSMAN M.D.
Practice Location Address:

5821 W MAPLE RD , SUITE 100
WEST BLOOMFIELD, MI
48322-2275

Practice Phone: 248-855-0407
Practice Fax: 248-855-1323

1881679165 — DR. STEVEN J. FELDMAN M.D.
Practice Location Address:

5821 W MAPLE RD , SUITE 190
WEST BLOOMFIELD, MI
48322-2275

Practice Phone: 248-855-0407
Practice Fax: 248-855-1323

Directions to “ DR. TAMMI COOPER M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.