Cook, Dwayne L..

Cook, Dwayne L.. is an individual health care provider with primary practice located at 1200 56Th St Sw , Wyoming MI 49509-9704. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Cook, Dwayne L.. can be contacted via phone (616) 243-5707.

Contact Information

Primary practice address
1200 56Th St Sw Wyoming MI 49509-9704
Phone: (616) 243-5707
Fax: (616) 243-1170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301074284 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301074284 Michigan

Profile Details

NPI number 1447229125
LBN Legal business name Cook, Dwayne L..
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Dec 20th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447229125 NPPES
Michigan Other 11274020 CAQH

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