Individual
DR. IAN H. COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2121 LAKE AVE, VETERANS AFFAIRS MEDICAL CENTER, FORT WAYNE, IN 46805-5100
(260) 426-5431
Mailing address
311 CAMERON HILL PL, FORT WAYNE, IN 46804-6702
(260) 459-0022
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01019042A
IN
Other
Enumeration date
07/24/2006
Last updated
07/09/2007
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