Charles F Koopmann JR.
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology
1500 East Medical Center Drive 2nd Floor Taubman Ctr Recp G
Ann Arbor
, Michigan 48109-5312
Charles F Koopmann JR.
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology
1500 East Medical Center Drive 2nd Floor Taubman Ctr Recp G
Ann Arbor
, Michigan 48109-5312
(734) 936-2047
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Charles F Koopmann JR.
- 3621 S State St 700 Kms Place Attn: Ellen Kayfes
- Ann Arbor, MI
- Zip : 48108
- Phone : (734) 936-2047
Second Address
- Charles F Koopmann JR.
- 1500 East Medical Center Drive 2nd Floor Taubman Ctr Recp G
- Ann Arbor, MI
- Zip : 48109-5312
- Phone : (734) 936-5730
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 4301050068 | MI |
| N | 207YP0228X | Pediatric Otolaryngology | 4301050068 | MI |
National Provider Identifier
| NPI | 1992760144 |
|---|---|
| Provider Name | Charles F Koopmann JR. |
| First Address | Ann Arbor, MI 48108 |
| Second Address | Ann Arbor, MI 48109-5312 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2006 |
| Last Update Date | 29/03/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0811423 | BCBSM (01) | MI |
| 1741795 | (05) | MI |
| B48436 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.