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Individual

MICHAEL KOPANIASZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 364-1000
Mailing address
5139 OLDE RIDGE RD, SYLVANIA, OH 43560-1882
(419) 944-3920

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704268626
MI

Other

Enumeration date
01/10/2022
Last updated
01/10/2022
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