Individual
MISS TAL KOPPELMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
L.4314R
AL
2086S0120X
Pediatric Surgery Physician
Primary
L.4314R
AL
Other
Enumeration date
07/10/2015
Last updated
03/11/2019
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