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1528382413
JEFFREY MILES COPPAGE
PEWAUKEE, WI
NPI
1528382413
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: WI 66308)
Enumeration Date
2010-03-21
Last Update Date
2018-10-08
Business Address
JEFFREY MILES COPPAGE M.D.
N15W28300 GOLF RD
PEWAUKEE, WI 53072
Phone number: 262-303-5055
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Mailing Address
JEFFREY MILES COPPAGE M.D.
N15W28300 GOLF RD
PEWAUKEE, WI 53072-4800
Phone number: 262-303-5055
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