Robert J Koontz M.D.

NPI 1093700312 - Family Medicine - 207Q00000X

NPI Details
NPI 1093700312
Gender Male
Enumeration Date 09/13/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1900 N DEWEY AVE
REEDSBURG WI, 53959-2214, US
Phone (605) 524-6477
Fax
Business Location
1900 N DEWEY AVE
REEDSBURG WI, 53959-2214, US
Phone (605) 524-6477
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Wisconsin
License Number 23455
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According to our database, Dr. Robert J Koontz M.D. NPI is 1093700312, taxonomy code is 207Q00000X and license number is 23455, license state is located at Wisconsin. Robert J Koontz M.D. physically located at 1900 N Dewey Ave, Reedsburg WI, 53959-2214. NPI Number Robert J Koontz M.D. has the Individual type.

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1093700312 NPI number is provided on an as is basis without warranty of any kind. 1093700312 is maintained by the National Plan & Provider Enumeration System. The contents of Robert J Koontz M.D. are for informational purposes only.