Male or Other

Peter H. Cooke M.D.

General Practice Physician in Lansing, MI(View on Map)

Full Name

Peter H Cooke M.D.

NPI Number

1578767406

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/13/2007

Specialties

(Taxonomies)

Code

208D00000X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

PC049423

Contact
Information

Purpose

Mailing
Location

Address

1717 N HIGH ST
1717 N HIGH ST

City

Lansing
Lansing

State

MI
MI

Postal Code

48906-4529
48906-4529

Country

US
US

Telephone Number

(517) 371-1700
(517) 371-1700

Identifiers

Identifier

1103312751
PC049423
3148943

Identifier State

MI
MI
MI

Identifier Issuer

BCBS
LIC #
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/15/2015

Provider Address

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