Kurt Koepnick MD

NPI 1093761470 - Internal Medicine - 207R00000X

NPI Details
NPI 1093761470
Gender Male
Enumeration Date 05/26/2006
Last Updated 04/22/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
6105 WILSON AVE SW
SUITE 202
WYOMING MI, 49418-9714, US
Phone (616) 267-7220
Fax
Business Location
100 MICHIGAN ST NE
MC 845
GRAND RAPIDS MI, 49503-2560, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number 4301040976
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According to our database, Kurt Koepnick MD NPI is 1093761470, taxonomy code is 207R00000X and license number is 4301040976, license state is located at Michigan. Kurt Koepnick MD physically located at 6105 Wilson Ave Sw, Wyoming MI, 49418-9714. NPI Number Kurt Koepnick MD has the Individual type.

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1093761470 NPI number is provided on an as is basis without warranty of any kind. 1093761470 is maintained by the National Plan & Provider Enumeration System. The contents of Kurt Koepnick MD are for informational purposes only.