Doctor Name: | DR. ROBERT BRIAN KOHEN |
NPI Number: | 1780809574 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 4301085601 |
Business Practice Address: | 28800 Ryan Rd Suite 220 Warren, MI - 480924272 |
Business Phone Number: | 5865582870 |
Business Fax Number: | 5865584651 |
Mailing Address: | 28800 Ryan Rd, Suite 220 WARREN |
State: | MI |
Postal Code: | 480924272 |
Phone Number: | 5865582870 |
Fax Number: | 5865584651 |
NPI Enumeration Date: | 04/16/2007 |
NPI Last Update Date: | 10/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 4301085601 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |