Individual
DR. CHARLES JOSEPH KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
10961 CLUB WEST PKWY, SUITE 130, BLAINE, MN 55449-5866
(763) 571-7550
(763) 253-4142
Mailing address
11314 DAVENPORT CIR NE, UNIT D, BLAINE, MN 55449-4485
(651) 303-6826
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3384
MN
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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