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Individual
PETER H COOKE
Active
Individual
PETER H COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
PC049423
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103312751
BCBS
MI
05
—
3148943
—
MI
01
—
PC049423
LIC #
MI
Enumeration date
06/13/2007
Last updated
03/15/2015
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