Individual
DR. MATTHEW COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6060
(414) 955-0213
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6060
(414) 955-0213
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
37971
WI
208600000X
Surgery Physician
D0056067
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102
CAREFIRST REGIONAL
MD
05
—
133605300
—
MD
01
—
2134678
MDIPA
MD
01
—
237044
KAISER
MD
01
—
60755401
BLUE SHIELD
MD
01
—
88803
GEISINGER
MD
Enumeration date
07/27/2006
Last updated
06/02/2023
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