Individual
DR. JOHN M KOPRIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
57 EXECUTIVE PARK S STE 120, ATLANTA, GA 30329-2248
(404) 778-2516
Mailing address
2355 UNIVERSITY AVE APT 319, MADISON, WI 53726-3840
(414) 573-0739
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35.153915
OH
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
35.153915
OH
Other
Enumeration date
04/03/2020
Last updated
07/22/2025
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