Individual
NICHOLAS R BOPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1506 S ONEIDA ST, APPLETON, WI 54915-1305
(414) 290-6720
(414) 290-6755
Mailing address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 337-4400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301105216
MI
207P00000X
Emergency Medicine Physician
Primary
67016-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
4301105216
MI
Other
Enumeration date
05/08/2014
Last updated
07/21/2022
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