Individual
JOSEPH N COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1400 MEDICAL CAMPUS DR, TRAVERSE CITY, MI 49684-7823
(231) 935-8000
(231) 935-8099
Mailing address
1400 MEDICAL CAMPUS DR, TRAVERSE CITY, MI 49684-7823
(231) 935-8000
(231) 935-8099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101007382
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080058977
RAILROAD MEDICARE
MI
01
—
0B81290
BCBSM PIN
—
01
—
21014
PRIORITY HEALTH GROUP
MI
05
—
3121369
—
MI
Enumeration date
07/19/2006
Last updated
04/20/2010
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