Individual
STEPHEN CHRISTOPHER COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5330 E STOP 11 RD, INDIANAPOLIS, IN 46237-6345
(317) 893-1900
(317) 893-1901
Mailing address
PO BOX 781076, DETROIT, MI 48278-4959
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
01085224A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
01085224A
IN
2080P0202X
Pediatric Cardiology Physician
4301109093
MI
Other
Enumeration date
06/27/2005
Last updated
07/14/2023
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