Healthcare Provider Details

I. General information

NPI: 1700855632
Provider Name (Legal Business Name): PHILIPPE JONATHAN COOPER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 07/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

W180N8085 TOWN HALL RD
MENOMONEE FALLS WI
53051
US

IV. Provider business mailing address

W180N8085 TOWN HALL RD
MENOMONEE FALLS WI
53051-3518
US

V. Phone/Fax

Practice location:
  • Phone: 262-257-5100
  • Fax: 262-518-5052
Mailing address:
  • Phone: 262-257-5100
  • Fax: 262-518-5052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number43797
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: