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Coolmac Medical Pc
Specialist in Detroit, Michigan
NPI 1477809242

Coolmac Medical Pc is a Specialist based in Farmington Hills, MI. Coolmac Medical Pc practices in Detroit, MI. The NPI Number for Coolmac Medical Pc is 1477809242 and holds a License No. 4301043240 (Michigan).

The current practice location address for Coolmac Medical Pc is 14825 W Mcnichols Rd, Detroit, MI and can be reached out via phone at 313-838-7900 and via fax at 313-838-3476.

Location: 14825 W Mcnichols Rd, Detroit, MI, 48331-3018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477809242
Provider Name
Coolmac Medical Pc
Credential
Provider Entity Type
Organization
Address
14825 W Mcnichols Rd, Detroit, MI, 48331-3018
Phone Number
313-838-7900
Fax Number
313-838-3476
Provider Enumeration Date
07/31/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4301043240 01 MI PHYSICIAN LICENSE
0631385 01 MI PTAN
institution
Provider Business Practice Location Address Details
Address
14825 W Mcnichols Rd
City
Detroit
State
Michigan
Zip
48235-3939
Phone Number
313-838-7900
Fax Number
313-838-3476
person
Provider Business Mailing Address Details
Address
14825 W Mcnichols Rd
City
Detroit
State
Michigan
Zip
48235-3939
Phone Number
313-838-7900
Fax Number
313-838-3476
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
4301043240 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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