Individual
HUDSON BERNARD KOPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 N MARCOS LN, APPLETON, WI 54911-8465
(920) 572-4548
Mailing address
3601 N MARCOS LN, APPLETON, WI 54911-8465
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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