| Marvin L Kofender | |
|
6900 Orchard Lake Rd Suite 207 West Bloomfield MI 48322-3405 | |
| (248) 539-9084 | |
| (248) 539-9088 |
| Full Name | Marvin L Kofender |
|---|---|
| Speciality | Internal Medicine |
| Location | 6900 Orchard Lake Rd, West Bloomfield, Michigan |
| Authorized Official Name and Position | Marvin L Kofender (PRESIDENT) |
| Authorized Official Contact | 2485399084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marvin L Kofender 6900 Orchard Lake Rd Suite 207 West Bloomfield MI 48322-3405 Ph: (248) 539-9084 | Marvin L Kofender 6900 Orchard Lake Rd Suite 207 West Bloomfield MI 48322-3405 Ph: (248) 539-9084 |
| NPI Number | 1780701466 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780701466 | NPI | - | NPPES |
| P118047 | Other | MI | CARE CHOICES |
| C1649 | Other | MI | MCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MK027675 (Michigan) | Primary |
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