Individual
JOHN RICHARD KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
415 W WISCONSIN ST STE 4, SPARTA, WI 54656-2493
(608) 269-4511
(608) 269-8511
Mailing address
415 W WISCONSIN ST STE 4, SPARTA, WI 54656-2493
(608) 269-4511
(608) 269-8511
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5283-12
WI
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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