Individual
ANDREW KOPYSTYNSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27351 DEQUINDRE, MADISON HTS, MI 48071
(248) 937-7740
(248) 967-7299
Mailing address
27351 DEQUINDRE, MADISON HTS, MI 48071
(248) 937-7740
(248) 967-7299
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
048023
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4093518
—
MI
Enumeration date
07/28/2006
Last updated
07/08/2007
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