Individual
MR. ROBERT D COPIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
521 BROADWAY AVE N, BRAHAM, MN 55006-4711
(320) 396-3333
(320) 396-3363
Mailing address
11335 246TH CIR, ZIMMERMAN, MN 55398-4663
(763) 856-0121
(320) 396-3363
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
169978-2
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169978-2
NURSING LICENSE
MN
Enumeration date
01/06/2012
Last updated
01/06/2012
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