Individual
DESIREE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
212 WINSTON DR, MARSHALL, MI 49068-8526
(269) 781-9867
Mailing address
601 JOHN STREET, BOX 42, KALAMAZOO, MI 49007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006636
MI
Other
Enumeration date
05/28/2013
Last updated
12/07/2023
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