Individual
DR. MICHAEL KEVIN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D
Contact information
Practice address
3108 W. DEYOUNG ST., SUITE A, MARION, IL 62959-5548
(618) 997-6640
(618) 997-6641
Mailing address
3108 W. DEYOUNG ST., SUITE A, MARION, IL 62959-5548
(618) 997-6640
(618) 997-6641
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021.002209
IL
Other
Enumeration date
10/17/2013
Last updated
04/05/2016
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