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Individual

DR. DAVID L KOPPEIN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1103 COLLEGE DR, MENA, AR 71953-2519
(479) 394-1414
(479) 437-3786
Mailing address
10000 W INNOVATION DR, MILWAUKEE, WI 53226-4837
(414) 456-5006
(414) 456-6259

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3167-033
WI
363LF0000X
Family Nurse Practitioner
Primary
A004598
AR

Other

Enumeration date
06/10/2007
Last updated
07/21/2022
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