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Individual

DR. JAN N NEAL-COOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
103 W US HIGHWAY 2, WAKEFIELD, MI 49968-9515
(906) 229-6120
Mailing address
103 W US HIGHWAY 2, WAKEFIELD, MI 49968-9515
(906) 229-6120

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
4301055159
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102790954
MA
Enumeration date
07/07/2006
Last updated
02/04/2014
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