# DAVID A COOK MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154508612
- **Authorized official:** DR. DAVID A COOK MD (PRESIDENT)
- **Authorized official phone:** (989) 893-3551

## Contact information

- **Practice address:** 3140 W CAMPUS DR, BAY CITY, MI 48706-2776
- **Practice address phone:** (989) 893-3551
- **Practice address fax:** (989) 671-9275
- **Mailing address:** 3140 W CAMPUS DR, BAY CITY, MI 48706-2776
- **Mailing address phone:** (989) 893-3551
- **Mailing address fax:** (989) 671-9275

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/28/2008
- **Last updated:** 04/13/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1004175 | MCLAREN HEALTH PLAN | MI |
| 05 | — | 1065378 | — | MI |
| 01 | — | 1100979532 | BLUE CARE NETWORK | MI |
| 01 | — | 111045159 | PALMETTO GBA | GA |
| 01 | — | 1179532 | HEALTH PLUS OF MI | MI |