Individual
TRAVIS B COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4800
(608) 824-4938
Mailing address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4800
(608) 824-4938
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
40103-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114963709
—
WI
Enumeration date
06/21/2006
Last updated
11/06/2020
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