Individual
MYRON KOPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1135 W UNIVERSITY DR, SUITE 415, ROCHESTER, MI 48307-1871
(248) 656-1222
(248) 650-4575
Mailing address
1135 W UNIVERSITY DR, SUITE 415, ROCHESTER, MI 48307-1871
(248) 656-1222
(248) 650-4575
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MK036050
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0706300142
BCBSM
MI
01
—
382288652
COMM
MI
Enumeration date
02/08/2006
Last updated
10/04/2011
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