Individual
DR. JOEL ROBERT COOPER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
154 LODI ST, LODI, WI 53555-1217
(608) 592-7030
Mailing address
154 LODI ST, LODI, WI 53555-1217
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3161
WI
Other
Enumeration date
04/25/2006
Last updated
07/08/2007
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