Organization
MATTHEW H KOPERA MD PLC
Active
Parent organization
MATTHEW H KOPERA MD PLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MATTHEW H KOPERA MD PLC
Authorized official
MATTHEW KOPERA MD (OWNER)
(248) 828-1100
Entity
Organization
Contact information
Practice address
6905 ROCHESTER RD, SUITE C, TROY, MI 48085
(248) 828-1100
(248) 828-1101
Mailing address
6905 ROCHESTER RD, TROY, MI 48085-1282
(248) 828-1100
(248) 828-1101
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301076518
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005022282
BCBSM
—
01
—
200E024660
BCBS
—
Enumeration date
02/29/2008
Last updated
12/19/2011
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