Individual
DR. JEROME WILLIAM COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
23625 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-7711
(248) 353-8446
(348) 355-0475
Mailing address
23625 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-7711
(248) 353-8446
(348) 355-0475
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101005049
MI
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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