Cooper Marc Jackson

NPI #1053013383 in La Crosse, Wisconsin

Provider Information

NPI Number
1053013383
Entity Type
Individual
Name
Cooper Marc Jackson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Enumeration Date
Mar 20, 2023
Last Updated
Oct 22, 2024

Practice Location

Address
1836 SOUTH AVE
ZIP Code
54601-5429
Phone
(608) 782-7300

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical
Student in an Organized Health Care Education/Training Program

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