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Individual

DR. BRIAN H KOPELL

Active
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Individual

DR. BRIAN H KOPELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
47197
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
029906261P
HUMANA
05
03441072
NY
05
34560900
WI
01
A400067904
MEDICARE
NY
Enumeration date
05/15/2006
Last updated
08/14/2013
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