Individual
COLLEEN J COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., MPH
Contact information
Practice address
606 24TH AVE S, SUITE 602, MINNEAPOLIS, MN 55454-1455
(612) 273-6099
Mailing address
606 24TH AVE S, SUITE 602, MINNEAPOLIS, MN 55454-1455
(612) 273-6099
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
26550
MN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
26550
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
245567600
—
MN
Enumeration date
10/06/2006
Last updated
08/04/2015
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