Individual
CHRISTINA MARIE KOPKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 N HOLBROOK ST, PLYMOUTH, MI 48170-1487
(734) 536-9174
Mailing address
311 N HOLBROOK ST, PLYMOUTH, MI 48170-1487
(734) 536-9174
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/12/2017
Last updated
07/21/2022
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