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Individual

KATHERINE COPELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6850
(414) 805-6864
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6850
(414) 805-6864

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
74972
CT
207R00000X
Internal Medicine Physician
Primary
84054
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1598384240
WI
Enumeration date
04/13/2020
Last updated
08/08/2024
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