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Search › Minnesota › 183500000X

Konner Cooke

NPI 1598593386 · on the registry since 2024

Practice

Address
927 Trettel Ln
Cloquet, MN 55720
Phone
(218) 878-1227
Organisation at this address
Fdl Adolescent Outpatient Tx
Fond Du Lac Reservation Business Committee
Fond Du Lac Reservation Business Committee
Inferred from a shared address, not stated in the registry.
Clinicians at this address
74

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-07-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota