Individual
BRIAN A KOPITZKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5701 BOW POINTE DR STE 215, CLARKSTON, MI 48346-5400
(248) 620-3376
(248) 620-3376
Mailing address
5701 BOW POINTE DR STE 215, CLARKSTON, MI 48346-5400
(248) 620-3376
(248) 620-3376
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
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