Individual
GREGORY ARTHUR COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 251-2700
(507) 825-4752
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 251-2700
(507) 825-4752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
30422
MN
208M00000X
Hospitalist Physician
Primary
30422
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
656582400
—
MN
Enumeration date
10/27/2005
Last updated
10/30/2015
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