Roger K Koopman, PA

NPI #1023025566 in White Bear Lake, Minnesota

Provider Information

NPI Number: 1023025566
Entity Type: Individual
Name: Roger K Koopman, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 1, 2006
Last Updated: Mar 17, 2018

Practice Location

Address: 2730 COUNTY ROAD E E
City: White Bear Lake
State: Minnesota
ZIP Code: 55110-4963
Phone: (866) 389-2727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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