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Individual

DR. SAM P COPELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
615 E 8TH ST, TRAVERSE CITY, MI 49686-2630
(231) 929-2900
(231) 929-7191
Mailing address
615 E 8TH ST, TRAVERSE CITY, MI 49686-2630
(231) 929-2900
(231) 929-7191

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
5151008468
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113507254
MI
Enumeration date
02/03/2006
Last updated
02/27/2009
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