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Individual

DR. DOUGLAS M COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
201 E J AVENUE, GRUNDY CENTER, IA 50638
(319) 824-5081
(319) 824-5504
Mailing address
201 E J AVENUE, GRUNDY CENTER, IA 50638
(319) 824-5081
(319) 824-5504

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
29245
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0100859
IA
01
13115
WELLMARK BCBS
IA
Enumeration date
08/23/2005
Last updated
10/18/2010
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