Kopischke, Marynne L

Kopischke, Marynne L is an individual health care provider with primary practice located at 6545 France Ave S Ste 210, Edina MN 55435-2281. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Kopischke, Marynne L can be contacted via phone (952) 928-2900.

Contact Information

Primary practice address
6545 France Ave S Ste 210 Edina MN 55435-2281
Phone: (952) 928-2900
Fax: (952) 928-2944
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R113270-2 Minnesota

Profile Details

NPI number 1447229026
LBN Legal business name Kopischke, Marynne L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Nov 17th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447229026 NPPES
Wisconsin MEDICAID 43841400
Wisconsin MEDICAID 780824100
Wisconsin Other 1007082
Wisconsin MEDICAID 4305471
Wisconsin Other 851169
Wisconsin Other 8T414KO
Wisconsin Other 0410560
Wisconsin Other 151560
Wisconsin Other HP33242

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