Individual provider · Type 1 NPI

Cole Rotteger

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1104767839 Active

Practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Call (313) 916-2600 Map

Mailing address

422 Coventry Ln
Mason, MI 48854-1159

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104767839

Cole Rotteger's National Provider Identifier is 1104767839, issued on Apr 6, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Apr 6, 2026.