Individual
DR. MICHAEL CARL KOPRUCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1340 BELMONT AVE, SUITE 2300, YOUNGSTOWN, OH 44504-1125
(330) 746-1488
(330) 746-5611
Mailing address
1340 BELMONT AVE, SUITE 2300, YOUNGSTOWN, OH 44504-1125
(330) 746-1488
(330) 746-5611
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35098982
OH
207RN0300X
Nephrology Physician
MD445026
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0086348
—
OH
05
—
10287522100002
—
PA
Enumeration date
07/08/2008
Last updated
04/03/2014
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