Individual
JEFFREY M COPPINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 W CENTRE AVE, PORTAGE, MI 49024-4828
(269) 324-4141
(269) 324-2020
Mailing address
2600 W CENTRE AVE, PORTAGE, MI 49024-4828
(269) 324-4141
(269) 324-2020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301059460
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3353532
—
MI
01
—
CN1148
RAILROAD MEDICARE
MI
Enumeration date
01/25/2006
Last updated
11/27/2023
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