Individual
KIMBERLY KOPISCHKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
705 SPRUCE AVE, MADISON LAKE, MN 56063-2038
(507) 469-5089
Mailing address
705 SPRUCE AVE, MADISON LAKE, MN 56063-2038
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2138860
MN
Other
Enumeration date
06/24/2026
Last updated
06/24/2026
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