Doctor Name: | DR. PENALOPE D. COOK |
NPI Number: | 1487612685 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | PC006961 |
Business Practice Address: | 600 E. Preston Cmu Health Services, Foust Hall 108 Mt Pleasant, MI - 488590001 |
Business Phone Number: | 9897741748 |
Business Fax Number: | 9897744335 |
Mailing Address: | 1266 Bruder Rd, MT PLEASANT |
State: | MI |
Postal Code: | 488589581 |
Phone Number: | 9897731667 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | PC006961 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |