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

DANA MARIE KOPACZ

Active

DANA MARIE KOPACZ is a Pediatric Nurse Practitioner healthcare provider located in SHELBY TOWNSHIP, Michigan. NPI 1942847116 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · SHELBY TOWNSHIP, MI

Registration Details

NPI Number
1942847116
Provider Type
Individual
Gender
Female
NPI Issued
Dec 5, 2019 (6.6550806104151 yrs)
Last Updated
Dec 5, 2019
License
4704300032 (MI)

Practice Information

Address
15125 22 MILE RD
SHELBY TOWNSHIP, MI, 483154406
Browse MI providers · Browse ZIP 48315
Phone
5865320599
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X

Other Pediatric Nurse Practitioner Providers in SHELBY TOWNSHIP, MI

Name Credential NPI
MRS. BETHANY ANNE MUSALLAM CPNP-PC 1295912624
SALINE ELIZABETH CHOULAGH 1669339883
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.