| Cooper Marc Jackson, | |
|
1836 South Ave, La Crosse, WI 54601-5429 | |
| (608) 782-7300 | |
| Not Available |
| Full Name | Cooper Marc Jackson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1836 South Ave, La Crosse, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053013383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 7930 (Wisconsin) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Cooper Marc Jackson, 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Cooper Marc Jackson, 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 |
Cheryl F Nigl, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Anthony M Sanchez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Samuel D Brauer, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2222 Kwik Trip Way, La Crosse, WI 54603 Phone: 608-781-5848 Fax: 608-781-5587 | |
Whitney Jo Brusich, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Nolan Benjamin Rohrer, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Douglas P Skinner, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 | |
Emily Elizabeth Peterson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 |