Individual
LAURA JEAN KOPPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792
(608) 263-6070
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
(608) 829-5485
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
66019
WI
207W00000X
Ophthalmology Physician
MD171856
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003106378
—
WI
Enumeration date
04/07/2011
Last updated
01/15/2021
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