Individual
SHONTREAL MONIQUE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25 MICHIGAN ST NE STE 5200, GRAND RAPIDS, MI 49503-2572
(616) 391-3681
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
063562
CT
207V00000X
Obstetrics & Gynecology Physician
Primary
4301509050
MI
207V00000X
Obstetrics & Gynecology Physician
ME162074
FL
207V00000X
Obstetrics & Gynecology Physician
MT208438
PA
207VM0101X
Maternal & Fetal Medicine Physician
063562
CT
207VM0101X
Maternal & Fetal Medicine Physician
35C.002283
OH
207VM0101X
Maternal & Fetal Medicine Physician
4301509050
MI
207VM0101X
Maternal & Fetal Medicine Physician
V1667
TX
207VX0000X
Obstetrics Physician
35C.002283
OH
Other
Enumeration date
05/13/2014
Last updated
06/03/2025
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