Individual provider · NPI-1

Gregory Arthur Cooper, MD

Hospitalist · Saint Cloud, MN

NPI number1730179870
StatusActive
Last updated in NPPESOct 30, 2015

Details

NPI
1730179870
Entity type
Individual (NPI-1)
Name
Gregory Arthur Cooper
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Oct 27, 2005
Last updated
Oct 30, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist30422MNYes
207Q00000X Family Medicine30422MN

Practice location

1200 6th Ave N
Saint Cloud, MN 56303-2735

Phone 320-251-2700 · Fax 507-825-4752

Mailing address

1200 6th Ave N
Saint Cloud, MN 56303-2735

Phone 320-251-2700 · Fax 507-825-4752

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