Individual
DR. MICHAEL V COOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6000
Mailing address
1446 N RANDALL AVE, JANESVILLE, WI 53545-1122
(608) 758-7215
Taxonomy
Speciality
Code
Description
License number
State
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
036-089571
IL
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
36637
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036089571 1
—
IL
05
—
32122200
—
WI
Enumeration date
10/11/2006
Last updated
11/03/2020
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