Individual
DR. BRYAN JOHN KOPKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(810) 441-4057
Mailing address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(810) 441-4057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101018801
MI
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
03/29/2010
Last updated
10/20/2013
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