DANA MARIE KOPACZ

SHELBY TOWNSHIP, MI
NPI1942847116
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MI  4704300032)
Enumeration Date2019-12-05
Last Update Date2019-12-05
Business Address
DANA MARIE KOPACZ
15125 22 MILE RD
SHELBY TOWNSHIP, MI 48315-4406
Phone number: 586-532-0599
Mailing Address
DANA MARIE KOPACZ
9794 HILLCREST DR
PLYMOUTH, MI 48170-3236
Phone number: 248-990-2459