Provider Demographics
NPI:1578782678
Name:KORPA, MICHAEL ALLEN (DO, MPH)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ALLEN
Last Name:KORPA
Suffix:
Gender:M
Credentials:DO, MPH
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Mailing Address - Street 1:1390 BIDDLE RD
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-4169
Mailing Address - Country:US
Mailing Address - Phone:541-732-5554
Mailing Address - Fax:541-732-5939
Practice Address - Street 1:1390 BIDDLE RD
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-4169
Practice Address - Country:US
Practice Address - Phone:541-732-5554
Practice Address - Fax:541-732-5939
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORDO122412083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine