Individual
DR. JEREMY DENNIS COPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
22615 MICHIGAN AVE, DEARBORN, MI 48124-2115
(313) 585-1517
Mailing address
4419 WESTPOINT ST, DEARBORN HEIGHTS, MI 48125-2128
(313) 585-1517
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010254
MI
Other
Enumeration date
04/13/2015
Last updated
08/03/2015
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