Individual
DR. MICHAEL GUST COPPERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
15810 DETROIT AVE, LAKEWOOD, OH 44107-3711
(216) 529-1800
(216) 529-3201
Mailing address
15810 DETROIT AVE, LAKEWOOD, OH 44107-3711
(440) 529-1800
(216) 529-3201
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36001751
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0368909
—
OH
Enumeration date
06/28/2006
Last updated
10/15/2010
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