Individual
DANIEL JOHN KOPERSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-3971
(608) 372-1206
Mailing address
W5866 COULEE SPRINGS LN, LA CROSSE, WI 54601-8411
(608) 787-5520
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1586
WI
Other
Enumeration date
10/14/2006
Last updated
07/08/2007
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