NPI 1093761470

Kurt Koepnick, MD

Practitioner Internal Medicine Physician Wyoming, MI

Practice location

Address: 6105 Wilson Ave SW Suite 202, Wyoming, MI 49418-9714
Phone: (616) 267-7220
Mailing address: 100 Michigan St NE Mc 845, Grand Rapids, MI 49503-2560

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 4301040976 (MI)

Other Internal Medicine providers in Michigan →

Registry record

NPI: 1093761470
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 May 2006
Record last updated: 22 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.