Individual
JAMIE COLLEEN COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226
(414) 805-3100
(414) 259-1145
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3100
(414) 259-1145
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4115
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114448560
—
WI
Enumeration date
07/06/2017
Last updated
04/16/2019
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