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NPI Code Detail

MEDICARE: ALEXANDER ZACHARY COPELAN M.D.

MEDICARE: ALEXANDER ZACHARY COPELAN M.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
12085R0202XDiagnostic Radiology Physician67077MN
22085N0700XNeuroradiology Physician67077MN
32085R0202XDiagnostic Radiology Physician14226-320WI

General Provider Information

NPI Number : 1932469673
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER ZACHARY COPELAN M.D.
Provider Business Mailing Address
First Line : 7595 ANAGRAM DR
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55344-7399
Country : US
Telephone Number : 612-573-2200
Fax Number : 612-573-2274
Provider Business Practice Location Address
First Line : 7595 ANAGRAM DR
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55344-7399
Country : US
Telephone Number : 612-573-2200
Fax Number : 612-573-2274
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2012
Last Update Date : 02/05/2026

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