Individual
MICHAEL COOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1211 24TH ST, ANACORTES, WA 98221-2557
(360) 299-1300
Mailing address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-6328
(180) 033-6861
(253) 838-6418
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD037051E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011937800007
—
PA
01
—
7858CO
BSWA
WA
05
—
8483083
—
WA
01
—
CO568812
BLUE SHIELD
PA
Enumeration date
06/07/2006
Last updated
03/04/2009
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