Provider Demographics
NPI:1295054997
Name:COOK, STEVEN MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MICHAEL
Last Name:COOK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:300 ELM ST SW
Mailing Address - Street 2:BOX 700
Mailing Address - City:MITCHELLVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:50169-4719
Mailing Address - Country:US
Mailing Address - Phone:515-967-4236
Mailing Address - Fax:515-967-3429
Practice Address - Street 1:300 ELM ST SW
Practice Address - Street 2:BOX 700
Practice Address - City:MITCHELLVILLE
Practice Address - State:IA
Practice Address - Zip Code:50169-4719
Practice Address - Country:US
Practice Address - Phone:515-967-4236
Practice Address - Fax:515-967-3429
Is Sole Proprietor?:No
Enumeration Date:2010-05-20
Last Update Date:2010-05-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA21977208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice