Individual
DR. CHARLES W COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1050 ISAAC STREETS DR, #140, OREGON, OH 43616-3291
(419) 698-7722
(419) 698-7723
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 698-7722
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
35057280
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0711091
—
OH
Enumeration date
07/08/2005
Last updated
06/20/2011
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