Organization
COOK MEDICAL ASSOC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GEORGE COOK MD (PRESIDENT)
(262) 656-8263
Entity
Organization
Contact information
Practice address
6308 8TH AVE, SUITE 301, KENOSHA, WI 53143-5031
(262) 656-8263
(262) 656-8273
Mailing address
6308 8TH AVE, SUITE 301, KENOSHA, WI 53143-5031
(262) 656-8263
(262) 656-8273
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22193
WI
Other
Enumeration date
02/28/2007
Last updated
08/22/2020
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