Individual
DR. PENALOPE D. COOK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
600 E. PRESTON, CMU HEALTH SERVICES, FOUST HALL 108, MT PLEASANT, MI 48859-0001
(989) 774-1748
(989) 774-4335
Mailing address
1266 BRUDER RD, MT PLEASANT, MI 48858-9581
(989) 773-1667
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
PC006961
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
386004447003
TRICARE
MI
Enumeration date
05/04/2006
Last updated
07/08/2007
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