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Individual
DR. JOHN HARRISON KOPCHICK
Active
Individual
DR. JOHN HARRISON KOPCHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301043886
MI
208800000X
Urology Physician
58797
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104135289
—
MI
01
—
3404100631
BLUE CROSS BLUE SHIELD
MI
01
—
900002217
PRIORITY HEALTH
MI
Enumeration date
06/16/2006
Last updated
03/17/2018
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