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Individual

DR. DAVID A COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3140 W CAMPUS DR, BAY CITY, MI 48706
(989) 667-2370
Mailing address
3140 W CAMPUS DR, BAY CITY, MI 48706-2776
(989) 667-2370

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
4301030187
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1004175
MCLAREN HEALTH PLAN
MI
05
1065378
MI
01
1100979532
BLUE CROSS BLUE SHIELD
MI
01
111045159
TRAVELERS MEDICARE
MI
01
1179532
HEALTH PLUS OF MICHIGAN
MI
01
M006890
TRICARE
MI
Enumeration date
10/31/2005
Last updated
11/12/2018
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