Individual
DR. WILLIAM J. KOPPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
193 W MAPLE RD, BIRMINGHAM, MI 48009-3323
(248) 645-0075
(248) 645-6917
Mailing address
193 W MAPLE RD, BIRMINGHAM, MI 48009-3323
(248) 645-0075
(248) 645-6917
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003204
MI
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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