Individual
WENDELL KOPREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3021 NE 72 ND DRIVE #9, VANCOUVER, WA 98661-7499
(304) 588-8580
Mailing address
3021 NE 72 ND DRIVE #9, VANCOUVER, WA 98661-7499
(304) 588-8580
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
236062
WA
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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