Mark Thomas Koehl M.D.

NPI 1053399220 - Family Medicine - 207Q00000X

NPI Details
NPI 1053399220
Gender Male
Enumeration Date 01/06/2006
Last Updated 03/05/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
8765 LEWIS AVE
TEMPERANCE MI, 48182-9583, US
Phone (734) 847-3802
Fax (734) 847-3418
Business Location
8765 LEWIS AVE
TEMPERANCE MI, 48182-9583, US
Phone (734) 847-3802
Fax (734) 847-3418
Toxanomy
Taxonomy Code 207Q00000X
License State Michigan
License Number 4301055332
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According to our database, Dr. Mark Thomas Koehl M.D. NPI is 1053399220, taxonomy code is 207Q00000X and license number is 4301055332, license state is located at Michigan. Mark Thomas Koehl M.D. physically located at 8765 Lewis Ave, Temperance MI, 48182-9583. NPI Number Mark Thomas Koehl M.D. has the Individual type.

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1053399220 NPI number is provided on an as is basis without warranty of any kind. 1053399220 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Thomas Koehl M.D. are for informational purposes only.