Individual
HARLAND L COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2315 M LAKE DRIVE, #703, MILWAUKEE, WI 53211
(414) 271-5119
(414) 271-3756
Mailing address
2315 N LAKE DRIVE, #703, MILWAUKEE, WI 53211
(414) 271-5119
(414) 271-3756
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1090023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42978100
—
WI
Enumeration date
03/18/2006
Last updated
12/07/2020
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