DR. CORY EDWARD COOKINGHAM MD

Allergy and Immunology

Flint, Michigan

Provider NPI: 1457306599

Provider Information:
DR. CORY EDWARD COOKINGHAM MD


Practice Location:
4260 S LINDEN RD  FLINT, MI 48507 US
Tel: 810-733-3200  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	MI	CC20919

Other Provider Identifiers:

Issuer	Number	State	Type
	382812697100	MI	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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