Individual
BOGUMILA KOPCZYNSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10122 E 10TH ST STE 100, INDIANAPOLIS, IN 46229-2697
(317) 355-5717
Mailing address
9859 FULBROOK DR APT A, INDIANAPOLIS, IN 46229-1094
(317) 895-9274
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11012709A
IN
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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