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Individual

KURT KOEPNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6105 WILSON AVE SW, SUITE 202, WYOMING, MI 49418-9714
(616) 267-7220
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301040976
MI

Other

Enumeration date
05/26/2006
Last updated
04/22/2011
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