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Individual
ROBERT KOEHL
Active
Individual
ROBERT KOEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302026126
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302026126
PHARMACY
MI
Enumeration date
11/02/2013
Last updated
11/02/2013
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