Individual
STEPHANIE A KOPLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-7803
Mailing address
20540 MILL POND CIRCLE, NEW BERLIN, WI 53146
(262) 364-8113
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
50206-020
WI
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
1370-TEP
WI
390200000X
Student in an Organized Health Care Education/Training Program
48746
WI
Other
Enumeration date
04/19/2006
Last updated
12/10/2021
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