Individual
ANTHONY DAVID KOPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
22594 CONCORD AVE, MATTAWAN, MI 49071-9532
(630) 291-8148
Mailing address
22594 CONCORD AVE, MATTAWAN, MI 49071-9532
(630) 291-8148
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010907
MI
Other
Enumeration date
02/15/2020
Last updated
02/15/2020
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