Individual
HAROLD P KOPITZKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
30901 PALMER RD, WESTLAND, MI 48186-9529
(734) 367-8403
(734) 722-9524
Mailing address
24423 KENSINGTON, FARMINGTON HILLS, MI 48335-2188
(810) 442-0386
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101007269
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010Q26258
BCBSM GR#
MI
01
—
1508883299
WRPH
MI
05
—
4867164
—
MI
01
—
HK007269
LICENSE
MI
Enumeration date
07/15/2006
Last updated
07/09/2007
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