Tyler S. Cooper
Internal Medicine Physician in Lansing, MI(View on Map)
Full Name
Tyler Samuel Cooper
NPI Number
1649775024
NPI Type
Individual Provider
Gender
Male
Enumeration Date
03/27/2018
Specialties
(Taxonomies)Name
Code
207R00000X
207RC0200X
207RP1001X
Primary Taxonomy
Yes
No
No
Licenses
State
Illinois
Michigan
License Number
036.153882
5101026847
Contact
Information
Purpose
Mailing
Location
Address
2900 COLLINS RD
2900 COLLINS RD
City
Lansing
Lansing
State
MI
MI
Postal Code
48910-8394
48910-8394
Country
US
US
Telephone Number
(309) 258-2145
(517) 975-6000
Health Information Exchange
Endpoint Type
DIRECT
FHIR
Endpoint
tcooper217488@direct.myadvocateaurora.org
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Endpoint Description
Unknown
Unknown
Use
Direct
Unknown
Content Type
Unknown
Unknown
Affiliation
N
N
Endpoint Location
4440 W 95th St Ste 131NobOak Lawn, IL604532600US
4440 W 95th St Ste 131NobOak Lawn, IL604532600US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/16/2023
Provider Address
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