Individual
DR. JANET LYNN KOPRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
713 N MAIN ST, ROYAL OAK, MI 48067-1835
(248) 548-7707
(248) 548-7736
Mailing address
713 N MAIN ST, ROYAL OAK, MI 48067-1835
(248) 548-7707
(248) 548-7736
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
JK009234
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070F374350
BLUE CROSS BLUE SHIELD
MI
01
—
383381344
TAX ID NO.FOR COMMERCIAL
MI
Enumeration date
06/06/2006
Last updated
10/04/2011
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