Individual
KERRIE KOPICKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
27483 DEQUINDRE RD STE 301, MADISON HEIGHTS, MI 48071-5715
(248) 546-2600
(248) 546-2604
Mailing address
29120 GLENARDEN ST, FARMINGTON HILLS, MI 48334-2732
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
5151016938
MI
Other
Enumeration date
04/24/2024
Last updated
05/15/2024
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