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NPI Code Detail

MEDICARE: MS. KAREN KRAUSE KOEPPE R.D.

MEDICARE: MS. KAREN KRAUSE KOEPPE R.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1942414701
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAREN KRAUSE KOEPPE R.D.
Provider Business Mailing Address
First Line : 2180 STEEPLECHASE DR
Second Line :
City : ANN ARBOR
State : MI
Zip : 48103-6033
Country : US
Telephone Number : 734-995-1852
Fax Number :
Provider Business Practice Location Address
First Line : 3174 PACKARD ST
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-1947
Country : US
Telephone Number : 734-971-1073
Fax Number : 734-971-8545
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2007
Last Update Date : 07/08/2007

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