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Individual

ROBIN J COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-6593
Mailing address
2671 SYLVAN SHORES DR, WATERFORD, MI 48328-3936
(248) 706-1898

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704158686
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
451919810
MI
Enumeration date
11/09/2007
Last updated
04/02/2013
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