Organization
M D COOPER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARSHA D COOPER (OWNER)
(419) 626-0225
Entity
Organization
Contact information
Practice address
2819 HAYES AVE, STE. 6, SANDUSKY, OH 44870-5391
(419) 626-0225
(419) 626-0755
Mailing address
2819 HAYES AVE, STE. 6, SANDUSKY, OH 44870-5391
(419) 626-0225
(419) 626-0755
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35048099C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0528638
—
OH
Enumeration date
03/25/2010
Last updated
03/25/2010
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