Individual
DR. MARK J COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
420 E GRAND RIVER AVE, BRIGHTON, MI 48116-1516
(810) 227-2004
(810) 227-1262
Mailing address
420 E GRAND RIVER AVE, BRIGHTON, MI 48116-1516
(810) 227-2004
(810) 227-1262
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002643
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
945069212
—
MI
Enumeration date
10/10/2005
Last updated
03/20/2013
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