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NPI Code Detail

MEDICARE: WILLIAM JOSEPH KUPSKY MD

MEDICARE: WILLIAM JOSEPH KUPSKY MD
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
1207ZN0500XNeuropathology Physician4301058791MI
2207ZP0101XAnatomic Pathology Physician4301058791MI

General Provider Information

NPI Number : 1437196425
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM JOSEPH KUPSKY MD
Provider Business Mailing Address
First Line : 1560 E MAPLE RD
Second Line : SUITE 400-CREDENTIALING
City : TROY
State : MI
Zip : 48083-1138
Country : US
Telephone Number : 313-745-8555
Fax Number : 313-966-8989
Provider Business Practice Location Address
First Line : 3990 JOHN R ST
Second Line : HARPER HOSPITAL PATHOLOGY
City : DETROIT
State : MI
Zip : 48201-2018
Country : US
Telephone Number : 313-745-8555
Fax Number : 313-745-9299
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2006
Last Update Date : 10/25/2016

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Directions to “ WILLIAM JOSEPH KUPSKY MD” Practice Location

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