Provider Demographics
NPI:1154814689
Name:COGNETTI, PETER ANTHONY II (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:ANTHONY
Last Name:COGNETTI
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1921 E 8 MILE RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48091-2402
Mailing Address - Country:US
Mailing Address - Phone:586-840-1333
Mailing Address - Fax:586-840-1377
Practice Address - Street 1:1921 E 8 MILE RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48091-2402
Practice Address - Country:US
Practice Address - Phone:586-840-1333
Practice Address - Fax:586-840-1377
Is Sole Proprietor?:No
Enumeration Date:2018-06-09
Last Update Date:2022-11-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMT215978207Q00000X
MI4301507410207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine