Individual
DR. STEVEN D COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2512 NEW PINE DR, ALTOONA, WI 54720-1378
(715) 832-0707
Mailing address
2715 W FRANK ST, EAU CLAIRE, WI 54703-2593
(715) 832-0707
(715) 834-5870
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2164Z
WI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
2164Z
WI
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
2164Z
WI
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
2164Z
WI
207QA0505X
Adult Medicine Physician
Primary
2164Z
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000011010
MEDICARE PTAN
—
05
—
30188400
—
WI
05
—
553865300
—
MN
Enumeration date
05/22/2006
Last updated
06/08/2010
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