Individual
HEATHER KOPESKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
990 PLANK RD, MENASHA, WI 54952-2936
(920) 882-6200
(920) 239-6894
Mailing address
990 PLANK RD, MENASHA, WI 54952-2936
(920) 882-6200
(920) 239-6894
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
252-49
WI
Other
Enumeration date
09/25/2017
Last updated
01/23/2024
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