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Stacy Marie Kopp
Addiction (Substance Use Disorder) Registered Nurse in Onalaska, Wisconsin
NPI 1417639634

Stacy Marie Kopp is an Addiction (Substance Use Disorder) Registered Nurse based in Onalaska, WI and is specialized in Addiction (Substance Use Disorder). Stacy Marie Kopp practices in Onalaska, WI. The NPI Number for Stacy Marie Kopp is 1417639634 and holds a License No. 1104947-30 (Wisconsin).

The current practice location address for Stacy Marie Kopp is 9532 E 16 Frontage Rd, Onalaska, WI and can be reached out via phone at 608-783-0506.

Location: 9532 E 16 Frontage Rd, Onalaska, WI, 54650-6739
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417639634
Provider Name
Stacy Marie Kopp
Credential
Provider Entity Type
Individual
Gender
Female
Address
9532 E 16 Frontage Rd, Onalaska, WI, 54650-6739
Phone Number
608-783-0506
Fax Number
Provider Enumeration Date
08/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9532 E 16 Frontage Rd
City
Onalaska
State
Wisconsin
Zip
54650-6739
Phone Number
608-783-0506
Fax Number
person
Provider Business Mailing Address Details
Address
9532 E 16 Frontage Rd
City
Onalaska
State
Wisconsin
Zip
54650-6739
Phone Number
608-783-0506
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Addiction (Substance Use Disorder)
Taxonomy
163WA0400X
License No.
1104947-30 (Wisconsin)
Definition
Definition to come...
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