Doctor Name: | PETER H COOKE |
NPI Number: | 1578767406 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | PC049423 |
Business Practice Address: | 1717 N High St Lansing, MI - 489064529 |
Business Phone Number: | 5173711700 |
Business Fax Number: | 5172686609 |
Mailing Address: | 1717 N High St, LANSING |
State: | MI |
Postal Code: | 489064529 |
Phone Number: | 5173711700 |
Fax Number: | 5172686609 |
NPI Enumeration Date: | 06/13/2007 |
NPI Last Update Date: | 03/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | PC049423 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |