Individual
DR. MARSHA D COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3006 CAMPBELL ST, SANDUSKY, OH 44870-5381
(419) 626-1313
(416) 626-5640
Mailing address
235 W NATIONAL RD, VANDALIA, OH 45377-1969
(937) 898-3600
(937) 898-2731
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.048099
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000138030
ANTHEM
OH
05
—
0528638
—
OH
01
—
341762427001
ALL COMMERCIAL CARRIERS
OH
Enumeration date
11/18/2005
Last updated
04/26/2023
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