Individual
MITCHELL A KOPNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8930
Mailing address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8930
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
39804-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730129560
—
WI
Enumeration date
06/08/2006
Last updated
12/03/2020
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