Individual
HALEY C COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215
(414) 646-2550
(414) 649-6988
Mailing address
2801 W KINNICKINNIC RIVER PKWY STE 530, MILWAUKEE, WI 53215-3693
(414) 646-2550
(414) 649-6988
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3759
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100058490
—
WI
Enumeration date
06/24/2016
Last updated
11/30/2021
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