ANTHONY M COPPOLA

DECORAH, IA
NPI1467568766
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IA  3827)
Additional Taxonomies207Q00000X Family Medicine
(Licence: IA  R7878)
Enumeration Date2006-08-21
Last Update Date2009-07-16
Business Address
-- ANTHONY M COPPOLA DO
1830 STATE HIGHWAY 9
DECORAH, IA 52101-7301
Phone number: 563-382-3140
Mailing Address
-- ANTHONY M COPPOLA DO
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300