Individual
DR. JAMES P. COOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
902 MAIN STREET, CAMERON, WI 54822-0360
(715) 458-4470
(715) 458-4470
Mailing address
P.O. BOX 360, CAMERON, WI 54822-0360
(715) 458-4470
(715) 458-4470
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2677-15
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33423600
FORWARD HEALTH (MEDICAL ASSISTANCE)
WI
Enumeration date
04/04/2012
Last updated
04/04/2012
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