| David L. Cooley D.o. P.c. | |
|
3902 Monroe St Dearborn Heights MI 48125-2545 | |
| (313) 562-1985 | |
| (313) 562-0380 |
| Full Name | David L. Cooley D.o. P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 3902 Monroe St, Dearborn Heights, Michigan |
| Authorized Official Name and Position | David L. Cooley (OWNER / PHYSICIAN) |
| Authorized Official Contact | 3135621985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David L. Cooley D.o. P.c. 3902 Monroe St Dearborn Heights MI 48125-2545 Ph: (313) 562-1985 | David L. Cooley D.o. P.c. 3902 Monroe St Dearborn Heights MI 48125-2545 Ph: (313) 562-1985 |
| NPI Number | 1558445015 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 11/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558445015 | NPI | - | NPPES |
| 120001978 | Other | MI | RAILROAD MEDICARE TRAVELERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DC006823 (Michigan) | Primary |
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