Individual
ELLEN MICHELE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10051 LAKE AVE STE 4, TRUCKEE, CA 96161-4870
(530) 587-7698
Mailing address
10051 LAKE AVE STE 4, TRUCKEE, CA 96161-4870
(530) 587-7698
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A116674
CA
208600000X
Surgery Physician
ML20008204
WA
Other
Enumeration date
08/19/2006
Last updated
02/16/2012
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