Individual
JASON KOPEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1320 WALDO AVE, MIDLAND, MI 48642-5898
(989) 280-8697
Mailing address
1320 WALDO AVE, MIDLAND, MI 48642-5898
(989) 280-8697
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704310949
MI
Other
Enumeration date
10/17/2018
Last updated
03/30/2020
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