Michael R Koch MD

NPI 1164408845 - Specialist - 174400000X

NPI Details
NPI 1164408845
Gender Male
Enumeration Date 12/15/2005
Last Updated 05/30/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
1305 W 18TH ST
SIOUX FALLS SD, 57105-0401, US
Phone (605) 333-1720
Fax (605) 333-1966
Business Location
PO BOX 5074
SIOUX FALLS SD, 57117-5074, US
Phone (605) 328-6585
Fax (605) 328-6512
Taxonomy Code 174400000X
License State South Dakota
License Number 2676
Remove 1164408845 NPI Number

According to our database, Dr. Michael R Koch MD NPI is 1164408845, taxonomy code is 174400000X and license number is 2676, license state is located at South Dakota. Michael R Koch MD physically located at 1305 W 18th St, Sioux Falls SD, 57105-0401. NPI Number Michael R Koch MD has the Individual type.

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1164408845 NPI number is provided on an as is basis without warranty of any kind. 1164408845 is maintained by the National Plan & Provider Enumeration System. The contents of Michael R Koch MD are for informational purposes only.