Individual
JOHN P COONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2481 N 72ND AVE, HART, MI 49420
(231) 873-2163
(231) 873-2143
Mailing address
PO BOX 1848, MUSKEGON, MI 49443-1848
(231) 727-5211
(231) 727-4571
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101012851
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ0662
MEDICARE RAILROAD
MI
Enumeration date
07/28/2005
Last updated
06/06/2018
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