Individual
DR. ERIN NICOLE KOPICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D., M.S
Contact information
Practice address
N112W16760 MEQUON RD, GERMANTOWN, WI 53022-5814
(262) 255-4922
Mailing address
1821 OAK ST, SOUTH MILWAUKEE, WI 53172-1457
(734) 657-2064
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901020152
MI
122300000X
Dentist
6778-15
WI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6778
WI
Other
Enumeration date
07/27/2011
Last updated
11/12/2020
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