Individual
DANIEL M COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
416 E MONROE ST, SUITE 200, SOUTH BEND, IN 46601-2360
(574) 232-8119
(574) 288-0235
Mailing address
416 E MONROE ST, SUITE 200, SOUTH BEND, IN 46601-2360
(574) 232-8119
(574) 288-0235
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
01039928
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100092470
—
IN
Enumeration date
12/22/2005
Last updated
10/06/2008
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