Individual
PETER KUOPUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 W WASHINGTON ST, MARQUETTE, MI 49855-4133
(906) 225-0923
(906) 225-0306
Mailing address
515 W WASHINGTON ST, MARQUETTE, MI 49855-4133
(906) 225-0923
(906) 225-0306
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
001551
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
901822472
—
MI
Enumeration date
08/05/2006
Last updated
07/09/2007
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