Organization · Type 2 NPI
Coolmac Medical PC
Specialist · Detroit, MI
NPI number
1477809242
Active
Practice location
14825 W Mcnichols Rd
Detroit, MI 48235-3939
Fax (313) 838-3476
Mailing address
28712 Wintergreen
Farmington Hills, MI 48331-3018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 4301043240 (MI) |
Specialist: 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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- Hussein Safawi, RPH, MBAPharmacist Detroit, MI NPI 1013356062
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About NPI 1477809242
Coolmac Medical PC's National Provider Identifier is 1477809242, issued on Jul 31, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Detroit, MI. The record was last updated on Jul 31, 2012.