Individual
DR. MICHAEL ANDREW KOPLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4895 CAPITOLA ROAD, CAPITOLA, CA 95010
(831) 475-6450
Mailing address
755 14TH AVE APT 410, SANTA CRUZ, CA 95062
(831) 465-1160
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
18846
CA
111NI0013X
Independent Medical Examiner Chiropractor
Primary
CA18846
CA
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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