Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 15540-24 | WI |
Y | 213ES0000X | Sports Medicine | 15540-24 | WI |
NPI | 1285207050 |
---|---|
Provider Name | Sydney Cope |
First Address | Milwaukee, WI 53202-6045 |
Second Address | Delafield, WI 53018-1814 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2021 |
Last Update Date | 20/07/2021 |