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Contact Information

HARLAND L COOK, PA
2315 M LAKE DRIVE
#703
MILWAUKEE, WI53211
 Phone: 414-271-5119
 Fax: 414-271-3756
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for HARLAND L COOK · (Male)

NPI # 1386603439
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 03/18/2006
Last updated 12/07/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 1090023
  • WI Medicaid 42978100
Hospital affiliation(s)
  • COLUMBIA ST MARY'S HOSPITAL MILWAUKEE - (Acute Care)
    2323 N LAKE DR
    MILWAUKEE, WI 53211
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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