Most Relevant Information
Provider Data
| NPI Number: | 1003025420 |
| Provider Name: | BRIAN R COGLIATI |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/22/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1852 W GRAND BLVD
1852 W. GRAND BLVD
DETROIT
MI
482081006
Practice Location Phone/Fax
| Phone: | 3138948444 |
| Fax: | 3138945542 |
Provider Mailing Location
1852 W GRAND BLVD
1852 W. GRAND BLVD
DETROIT
MI
482081006
Provider Mailing Phone/Fax
| Phone: | 3138948444 |
| Fax: | 3138945542 |