MEDICARE: DAVID A COOK MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1179532	OTHER	MI	HEALTH PLUS OF MI
2	1004175	OTHER	MI	MCLAREN HEALTH ADVANTAGE
3	1100979532	OTHER	MI	BLUE CROSS BLUE SHIELD
4	1100979532	OTHER	MI	BLUE CARE NETWORK
5	111045159	OTHER	GA	PALMETTO GBA
6	1004175	OTHER	MI	MCLAREN HEALTH PLAN
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154508612
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID A COOK MD PC

Provider Business Mailing Address
First Line	:	3140 W CAMPUS DR
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-2776
Country	:	US
Telephone Number	:	989-893-3551
Fax Number	:	989-671-9275

Provider Business Practice Location Address
First Line	:	3140 W CAMPUS DR
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-2776
Country	:	US
Telephone Number	:	989-893-3551
Fax Number	:	989-671-9275

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID A COOK
Credential	:	MD
Telephone Number	:	989-893-3551

Provider Enumeration Date	:	01/28/2008
Last Update Date	:	04/13/2015

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Directions to “DAVID A COOK MD PC ” Practice Location

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