Individual
MICHAEL THOMAS COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4254 JACKSON HWY, CHEHALIS, WA 98532-8424
(360) 996-6603
(360) 996-6604
Mailing address
2690 NE KRESKY AVE, CHEHALIS, WA 98532-2412
(360) 330-9595
(360) 330-9560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61420065
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2241987
—
WA
Enumeration date
07/02/2019
Last updated
12/14/2023
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