Great Lakes Dermatology

LBN: Michael R Cohen, Do, Pllc
Great Lakes Dermatology is an health care organization with primary practice located at 39475 Lewis Dr Suite 150, Novi MI 48377-2981. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Michael R Cohen, Do, Pllc can be contacted via phone (248) 324-2222, or through Cohen, Michael Randy via phone (248) 259-7733.

Contact Information

Primary practice address
39475 Lewis Dr Suite 150 Novi MI 48377-2981
Phone: (248) 324-2222
Fax: (248) 324-0009
Website:
Map and Directions
Authorized official contact:
Name: Cohen, Michael Randy Doctor of Osteopathy (DO)
Phone: (248) 259-7733

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 5101014034 Michigan

Profile Details

NPI number 1225218076
LBN Legal business name Michael R Cohen, Do, Pllc
DBA Doing business as Great Lakes Dermatology
Authorized official Cohen, Michael Randy Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2007
Last updated Jun 21st, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225218076 NPPES
Michigan Other DE3321 MEDICARE RAILROAD CARRIER

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