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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROGER K KOOPMAN, PA

Active

ROGER K KOOPMAN, PA is a Physician Assistant healthcare provider located in WHITE BEAR LAKE, Minnesota. NPI 1023025566 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · WHITE BEAR LAKE, MN

Registration Details

NPI Number
1023025566
Provider Type
Individual
Gender
Male
NPI Issued
Aug 1, 2006 (20.013074203396 yrs)
Last Updated
Mar 17, 2018
License
9934 (MN)

Practice Information

Address
2730 COUNTY ROAD E E
WHITE BEAR LAKE, MN, 551104963
Browse MN providers · Browse ZIP 55110
Phone
8663892727
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in WHITE BEAR LAKE, MN

Name Credential NPI
JOY YANG PA-C 1245219922
CHERIDA IRENE MCCALL CNM 1184691115
ROSALYNN VERTIZ-HACKETT PA 1053411157
MRS. SARAH SLATTERY PA-C 1578921714
MRS. AMY SPITZMUELLER BORASH PA-C 1356888275
ROBIN ERICKSON PA-C 1982174694
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.