Individual
SAMUEL A. COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-1049
Mailing address
2302 11TH ST, MONROE, WI 53566
(630) 825-8433
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9775-33
WI
Other
Enumeration date
12/03/2019
Last updated
12/28/2020
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