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Michael
A
Cosgrove
MD
Contract Details
The Orthopaedic Center
Facility name
Provider ID
P000000347
NPI
1750459616
Tax ID
631210156
Effective Date
12/1/2015
Last Updated
9/22/2022
Direct Contract
Yes
Term Date
9/1/2022
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_486
Exhibit Attachment
Location Details
Address
Franklin Medical Tower 927 Franklin Street Southeast
Huntsville, AL 35801
United States
County
Madison
Phone
2565392728
(
Phone
)
Billing Details
Address
Franklin Medical Tower
927 Franklin Street Southeast
Huntsville, AL 35801
Billing Phone
2565392728
Specialty Type
Anesthesiology
Map
Address