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Individual

DR. GREGORY P COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2800 HAYES AVE, BLDG D, SANDUSKY, OH 44870-7252
(419) 627-8771
(419) 627-0363
Mailing address
2800 HAYES AVE, BLDG D, SANDUSKY, OH 44870-7252
(419) 627-8771
(419) 627-0363

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35062615
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000131161
ANTHEM
OH
01
02573
PARAMOUNT
OH
05
2008071
OH
01
921579
AETNA
OH
Enumeration date
06/22/2005
Last updated
07/01/2008
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