Individual
CRAIG R COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4025 N 92ND ST, WAUWATOSA, WI 53222-1613
(414) 358-5431
(414) 358-5421
Mailing address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-6734
(414) 219-4941
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2008015959
MO
207L00000X
Anesthesiology Physician
Primary
57337-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100024325
—
WI
01
—
61326
DEAN HEALTH INSURANCE
WI
Enumeration date
07/18/2008
Last updated
08/14/2024
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