Individual
DIANE R KOPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2700 BAKER ST FL 3, MUSKEGON, MI 49444-2157
(231) 733-6607
Mailing address
2700 BAKER ST FL 3, MUSKEGON, MI 49444-2157
(231) 733-6607
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704088113
MI
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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