Most Relevant Information
Provider Data
| NPI Number: | 1003173667 |
| Provider Name: | AVI COHEN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207RC0200X |
| Specialty: | Internal Medicine |
| License Number: | A132198 |
Most Important Dates
| Enumeration Date: | 04/19/2012 |
| Last Updated: | 12/02/2019 |
Provider Practice Location
2799 W GRAND BLVD
DETROIT
MI
482022608
Practice Location Phone/Fax
| Phone: | 3139162600 |
| Fax: |
Provider Mailing Location
2799 W GRAND BLVD
DETROIT
MI
482022608
Provider Mailing Phone/Fax
| Phone: | 3139162600 |
| Fax: |