Individual
ANNIKA MARIE KOPPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
530 NEW WAVERLY PL STE 115, CARY, NC 27518-7414
(919) 852-0177
(919) 852-0175
Mailing address
2406 BLUE RIDGE RD STE 100, RALEIGH, NC 27607-6692
(919) 786-5001
(919) 786-5051
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
250417
NC
Other
Enumeration date
04/11/2019
Last updated
06/07/2022
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