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Individual
BRYAN PAUL KOESTNER
Active
Individual
BRYAN PAUL KOESTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD-46210
IA
208M00000X
Hospitalist Physician
Primary
MD-46210
IA
Other
Enumeration date
06/08/2016
Last updated
06/29/2019
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