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Individual

DR. MATTHEW COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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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