Search › Wisconsin › 225700000X
Jason Cooper
NPI 1912736083 · on the registry since 2024 · sole proprietor
Practice
- Address
- 5319 S 108th St # 11
Hales Corners, WI 53130 - Phone
- (414) 881-5976
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-29
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 Wisconsin