Individual
PETER H COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1717 N HIGH ST, LANSING, MI 48906-4529
(517) 371-1700
(517) 268-6609
Mailing address
1717 N HIGH ST, LANSING, MI 48906-4529
(517) 371-1700
(517) 268-6609
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
PC049423
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103312751
BCBS
MI
05
—
3148943
—
MI
01
—
PC049423
LIC #
MI
Enumeration date
06/13/2007
Last updated
03/15/2015
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