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Contact Information

CHARLES F KOOPMANN JR, MD
1500 EAST MEDICAL CENTER DRIVE
2ND FLOOR TAUBMAN CTR RECP G
ANN ARBOR, MI48109-5312
 Phone: 734-936-5730
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for CHARLES F KOOPMANN JR · (Male)

NPI # 1992760144
Status Active
Credentials MD
Entity Individual
Enumeration date 04/19/2006
Last updated 03/29/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301050068
  • MI Medicaid 1741795
  • MI Other 0811423 BCBSM
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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