Individual
CHRISTOPHER ANDREW COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7540 22ND AVE, KENOSHA, WI 53143
(262) 656-7800
Mailing address
7540 22ND AVE, KENOSHA, WI 53143-5702
(262) 656-7800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
66260
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100067325
—
WI
Enumeration date
04/02/2015
Last updated
05/31/2024
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