| M D Cooper Inc. | |
|
2819 Hayes Ave Ste. 6 Sandusky OH 44870-5391 | |
| (419) 626-0225 | |
| (419) 626-0755 |
| Full Name | M D Cooper Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2819 Hayes Ave, Sandusky, Ohio |
| Authorized Official Name and Position | Marsha D Cooper (OWNER) |
| Authorized Official Contact | 4196260225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M D Cooper Inc. 2819 Hayes Ave Ste. 6 Sandusky OH 44870-5391 Ph: (419) 626-0225 | M D Cooper Inc. 2819 Hayes Ave Ste. 6 Sandusky OH 44870-5391 Ph: (419) 626-0225 |
| NPI Number | 1003130683 |
|---|---|
| Provider Enumeration Date | 03/25/2010 |
| Last Update Date | 03/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003130683 | NPI | - | NPPES |
| 0528638 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35048099C (Ohio) | Primary |
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