# JOAN M KOEWLER DPM PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861642175
- **Authorized official:** JUDY E SMITH (OFFICE MANAGER)
- **Authorized official phone:** (941) 923-4999

## Contact information

- **Practice address:** 4157 CLARK RD, SARASOTA, FL 34233-2403
- **Practice address phone:** (941) 923-4999
- **Practice address fax:** (941) 923-4998
- **Mailing address:** 4157 CLARK RD, SARASOTA, FL 34233-2403
- **Mailing address phone:** (941) 923-4999
- **Mailing address fax:** (941) 923-4998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO1696 | FL | Yes |

## Other

- **Enumeration date:** 09/23/2008
- **Last updated:** 02/23/2009
