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Contact Information

CYNTHIA L COOKINGHAM MD PC
5885 S MAIN STREET
SUITE #1
CLARKSTON, MI48346
 Phone: 248-620-1900
 Fax: 248-620-1904
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
Indicates primary specialty

NPI Profile & details for CYNTHIA L COOKINGHAM MD PC · (Female)

NPI Number 1326101304
Status Active
Credentials
Entity Individual
Enumeration date 12/19/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # CC048327
  • MI Medicaid 4322960
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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