Individual
MELISSA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W231N1440 CORPORATE CT, WAUKESHA, WI 53186-1503
(262) 896-6000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
83360-20
WI
208D00000X
General Practice Physician
0101259062
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100288680
—
WI
Enumeration date
03/28/2014
Last updated
11/06/2024
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