Individual
DR. DAVID W. COCKERILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 NAVARRE PL, SUITE 6600, SOUTH BEND, IN 46601-1156
(574) 232-7227
(574) 232-2064
Mailing address
100 NAVARRE PL, SUITE 6600, SOUTH BEND, IN 46601-1156
(574) 232-7227
(574) 232-2064
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01059005A
IN
207T00000X
Neurological Surgery Physician
Primary
01059005A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200484210A
—
IN
Enumeration date
06/29/2006
Last updated
10/14/2010
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