Audrey Cooper

NPI #1003407867 in Tustin, Michigan

Provider Information

NPI Number: 1003407867
Entity Type: Individual
Name: Audrey Cooper
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Feb 3, 2021
Last Updated: Oct 28, 2025

Practice Location

Address: 22560 130TH AVE
City: Tustin
State: Michigan
ZIP Code: 49688-8565
Phone: (231) 206-1626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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