Individual
DR. AMANDA LYNN KOPCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
12876 W BLUEMOUND RD, ELM GROVE, WI 53122-2605
(262) 432-0052
(262) 923-7610
Mailing address
16800 W CLEVELAND AVE, NEW BERLIN, WI 53151-3533
(262) 923-7298
(262) 923-7299
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
152W00000X
WI
Other
Enumeration date
05/25/2012
Last updated
08/13/2014
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