Individual
DR. JONATHAN S COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
806 HOGSBACK RD, SUITE C, MASON, MI 48854
(517) 244-9170
(517) 244-9173
Mailing address
3955 PATIENT CARE DR, LANSING, MI 48911-4299
(517) 374-7600
(517) 374-9042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101013007
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4132563
—
MI
Enumeration date
03/14/2006
Last updated
07/02/2018
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