Angela M Cooper PAC

NPI 1033193404 - Physician Assistant - 363A00000X

NPI Details
NPI 1033193404
Gender Female
Enumeration Date 11/30/2005
Last Updated 09/28/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
50 N FOURTH ST
LANSING IA, 52151-0540, US
Phone (563) 538-4874
Fax (563) 538-3099
Business Location
1836 SOUTH AVE
LA CROSSE WI, 54601-5429, US
Phone (608) 782-7300
Fax (563) 538-3099
Toxanomy
Taxonomy Code 363A00000X
License State Wisconsin
License Number 292623
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According to our database, Angela M Cooper PAC NPI is 1033193404, taxonomy code is 363A00000X and license number is 292623, license state is located at Wisconsin. Angela M Cooper PAC physically located at 50 N Fourth St, Lansing IA, 52151-0540. NPI Number Angela M Cooper PAC has the Individual type.

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1033193404 NPI number is provided on an as is basis without warranty of any kind. 1033193404 is maintained by the National Plan & Provider Enumeration System. The contents of Angela M Cooper PAC are for informational purposes only.