Individual
DAREK COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-4800
Mailing address
6744 KING RD, SPRING ARBOR, MI 49283-9776
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010470
MI
Other
Enumeration date
02/10/2020
Last updated
04/20/2021
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