Individual
BRIAN A KOPITZKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
4074
IA
207N00000X
Dermatology Physician
Primary
5101015228
MI
Other
Enumeration date
07/01/2008
Last updated
11/18/2011
Update your record
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