Organization · Type 2 NPI
Jeremy D Copple DC PC
Health Service Clinic/Center · Dearborn, MI
NPI number
1194102350
Active
Practice location
22615 Michigan Avenue
Dearborn, MI 48124
Mailing address
4419 Westpoint
Dearborn Heights, MI 48125
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | 2301010254 (MI) |
Health Service Clinic/Center: Definition to come...
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About NPI 1194102350
Jeremy D Copple DC PC's National Provider Identifier is 1194102350, issued on Apr 27, 2015. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Dearborn, MI. The record was last updated on Aug 3, 2015.