Individual
DR. MATTHEW DAVID COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
733 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6101
(715) 838-5222
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-3635
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
32020
OK
207W00000X
Ophthalmology Physician
Primary
61822
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2012
Last updated
09/14/2020
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