Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 0101257291 | VA |
N | 208600000X | Surgeon | 0101257291 | VA |
N | 208200000X | Surgeon | 2015-02218 | NC |
N | 208600000X | Surgeon | 2015-02218 | NC |
N | 208200000X | Surgeon | 4301066949 | MI |
N | 208600000X | Surgeon | 4301066949 | MI |
Y | 208200000X | Surgeon | 68014 | WI |
Y | 208600000X | Surgeon | 68014 | WI |
NPI | 1013947225 |
---|---|
Provider Name | Dr. David Dean Copp |
First Address | Two Rivers, WI 54241-3900 |
Second Address | Two Rivers, WI 54241-3900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 07/03/2018 |