Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANDREW JON KOPPERUD, MD
ActiveDR. ANDREW JON KOPPERUD, MD is a Internal Medicine healthcare provider located in WESTBROOK, Minnesota. NPI 1629294533 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · WESTBROOK, MN
Registration Details
- NPI Number
- 1629294533
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 18, 2007 (19.336423918487 yrs)
- Last Updated
- Mar 29, 2022
- Licenses
-
53376 (MN)57010337 (OH)35089804 (OH)53376 (MN)
Practice Information
- Address
-
920 BELL AVEWESTBROOK, MN, 561839669Browse MN providers · Browse ZIP 56183
- Phone
- 5072746121
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Pediatrics
- Additional Specialty
- Internal Medicine
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.