Gina M. Koch D.C.

NPI 1053366203 - Chiropractor - 111N00000X

NPI Details
NPI 1053366203
Gender Female
Enumeration Date 05/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
217 N MAIN ST
WAUPACA WI, 54981-1543, US
Phone (715) 256-9616
Fax (715) 256-9618
Business Location
217 N MAIN ST
WAUPACA WI, 54981-1543, US
Phone (715) 256-9616
Fax (715) 256-9618
Toxanomy
Taxonomy Code 111N00000X
License State Wisconsin
License Number 3449-012
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According to our database, Dr. Gina M. Koch D.C. NPI is 1053366203, taxonomy code is 111N00000X and license number is 3449-012, license state is located at Wisconsin. Gina M. Koch D.C. physically located at 217 N Main St, Waupaca WI, 54981-1543. NPI Number Gina M. Koch D.C. has the Individual type.

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1053366203 NPI number is provided on an as is basis without warranty of any kind. 1053366203 is maintained by the National Plan & Provider Enumeration System. The contents of Gina M. Koch D.C. are for informational purposes only.