Marvin L Kofender

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MK027675 Issued in MI

Legal business name

MARVIN L KOFENDER

Practice address

6900 Orchard Lake Rd
Suite 207
West Bloomfield, MI 48322-3405

Phone

(248) 539-9084

Fax

(248) 539-9088

NPI assigned

Mar 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marvin L Kofender, MD

Title

President

Phone

(248) 539-9084

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780701466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 ORCHARD LAKE RD",
            "address_2": "SUITE 207",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223405",
            "telephone_number": "248-539-9084",
            "fax_number": "248-539-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 ORCHARD LAKE RD",
            "address_2": "SUITE 207",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223405",
            "telephone_number": "248-539-9084",
            "fax_number": "248-539-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN L KOFENDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOFENDER",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-539-9084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "MK027675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "P118047",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "C1649",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin M Marshall, BEHAVIOR TECHNICIAN
• Marcus Martin
• Michele Martin, RDH
• Shannon Martin, LMSW
• Janely Martinez
• Mary Lee MD, PC
• Cortney Lynn Maser, LLMSW
• Emily Mason, PA-C
• Dalya Mati
• Gabrielle E Matt

• Internal Medicine Physician in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.