Provider Demographics
NPI:1750356341
Name:COOKE, MICHAEL E (DO)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:E
Last Name:COOKE
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Gender:M
Credentials:DO
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Mailing Address - Street 1:4100 GOSS RD
Mailing Address - Street 2:FOX ARMY HEALTH CENTER, CREDENTIALS COORDINATOR
Mailing Address - City:REDSTONE ARSENAL
Mailing Address - State:AL
Mailing Address - Zip Code:35809-7000
Mailing Address - Country:US
Mailing Address - Phone:256-876-4560
Mailing Address - Fax:256-313-3260
Practice Address - Street 1:4100 GOSS RD
Practice Address - Street 2:FOX ARMY HEALTH CENTER, PRIMARY CARE CLINIC
Practice Address - City:REDSTONE ARSENAL
Practice Address - State:AL
Practice Address - Zip Code:35809-7000
Practice Address - Country:US
Practice Address - Phone:256-876-4560
Practice Address - Fax:256-313-3260
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-17
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
ALDO-74207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine