Individual provider · Type 1 NPI

Cooper Marc Jackson

Medical Physician Assistant · La Crosse, WI

NPI number 1053013383 Active

Practice location

1836 South Ave
La Crosse, WI 54601-5429

Call (608) 782-7300 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X7930 (WI)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

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About NPI 1053013383

Cooper Marc Jackson's National Provider Identifier is 1053013383, issued on Mar 20, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in La Crosse, WI. The record was last updated on Oct 22, 2024.