Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Kopetsky

Individual provider Pharmacist · NPI 1295173425

Mark Kopetsky is a Pharmacist in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2013
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Practice location Address checks out

2323 N Lake Dr
Milwaukee, WI 53211-4508
Phone: (414) 291-1068
Fax: (414) 291-1073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 9977-40 (WI)

Record details

NPI number1295173425
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 10, 2013
Last updated in NPPESJune 10, 2013
Mailing address2323 N Lake Dr, Milwaukee, WI 53211-4508

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