Individual
DR. MARK F. COOK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
412 HIGHLAND BLVD, JOHNSON CREEK, WI 53038-9504
(920) 390-9038
Mailing address
412 HIGHLAND BLVD, JOHNSON CREEK, WI 53038-9504
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2358-035
WI
152WC0802X
Corneal and Contact Management Optometrist
2358-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38724000
—
WI
Enumeration date
03/28/2006
Last updated
11/14/2025
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