Individual
DR. BENJAMIN J COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5255 E STOP 11 RD STE 400, INDIANAPOLIS, IN 46237-6341
(317) 528-6640
(317) 528-6650
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01057353A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200451570
—
IN
01
—
P00077357
MEDICARE RAILROAD
IN
Enumeration date
01/03/2007
Last updated
04/03/2026
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