Individual provider · Type 1 NPI

Kerrie Kopicko, DO

Student in an Organized Health Care Education/Training Program · Madison Heights, MI

NPI number 1790531473 Active

Practice location

27483 Dequindre Rd Ste 301
Madison Heights, MI 48071-5715

Call (248) 546-2600 Map

Fax (248) 546-2604

Mailing address

29120 Glenarden St
Farmington Hills, MI 48334-2732

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X5151016938 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1790531473

Kerrie Kopicko, DO's National Provider Identifier is 1790531473, issued on Apr 24, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Madison Heights, MI. The record was last updated on May 15, 2024.