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Individual

MR. ROBERT JAMES COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
4061 OLD PESHTIGO RD, MARINETTE, WI 54143
(715) 732-8000
(715) 732-8148
Mailing address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 445-7226
(920) 445-7229

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
115444-030
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43402300
WI
Enumeration date
08/07/2006
Last updated
11/20/2017
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