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Individual
DR. MICHAEL ANDREW KOEHN
Active
Individual
DR. MICHAEL ANDREW KOEHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
750
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007238
BCBC PPO#
SD
01
—
192934800
DEPT. OF LABOR WORKCOMP #
SD
01
—
P00235015
RAILROAD MEDICARE #
SD
Enumeration date
12/07/2006
Last updated
06/11/2010
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