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Gregory Cooper, MSW
NPI 1740598952 · on the registry since 2010
Practice
- Address
- 805 Leonard St Ne
Grand Rapids, MI 49503 - Phone
- (616) 451-2021
- Fax
- (616) 451-8936
- Organisation at this address
- D.A. Blodgett - St. John'S
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 58
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-10-15
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 Michigan