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

CHERON COPELAND, NDTR

Active

136A00000X · SOUTH MILWAUKEE, WI

Registration Details

NPI Number
1215720867
Provider Type
Individual
Gender
Female
NPI Issued
May 27, 2025 (0.90486734777432 yrs)
Last Updated
Jun 17, 2025
License
86374592

Practice Information

Address
3344 MARINA RD APT 204
SOUTH MILWAUKEE, WI, 531723963
Browse WI providers · Browse ZIP 53172
Phone
9316374628
Primary Specialty
136A00000X
136A00000X
Additional Specialty
136A00000X
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.