Individual
MARISSA LEE COPPERSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8000
Mailing address
207 TOWER AVE, WHITELAW, WI 54247-9624
(920) 901-7462
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
245979-30
WI
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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