Search › Michigan › 225X00000X
Russell Koppin, OT
NPI 1326549254 · on the registry since 2018
Practice
- Address
- 21700 Northwestern Hwy
Southfield, MI 48075 - Phone
- (313) 600-8563
- Organisation at this address
- Manor House
Care Holdings, Llc
Complete Clarity Llc
Manor House I.D.L.S.
Avalon Home Care IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 43
Additional practice sites
- 22101 Moross Rd, Detroit, MI
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan