Individual
WADE MICHAEL COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
325 EAST EISENHOWER, SUITE 100, ANN ARBOR, MI 48108-5744
(734) 763-5459
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
5101014529
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4762467
—
MI
Enumeration date
01/17/2006
Last updated
12/19/2019
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