Individual
MR. JOHN M COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 S HEMLOCK ST, IRON MOUNTAIN, MI 49801
(906) 779-1290
(906) 779-2154
Mailing address
1001 S HEMLOCK ST, IRON MOUNTAIN, MI 49801
(906) 779-1290
(906) 779-2154
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301043588
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1429186
—
MI
01
—
30387400
WISCONSIN MEDICAID
WI
01
—
382396677017
WISCONSIN BCBS
WI
Enumeration date
06/06/2006
Last updated
04/01/2008
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