Individual
DR. DAVID WERNER KOELSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 ADMINISTRATION RD, OAK RIDGE, TN 37830-8822
(865) 483-7030
(865) 483-3954
Mailing address
120 ADMINISTRATION RD, OAK RIDGE, TN 37830-8822
(865) 483-7030
(865) 483-3954
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
36460
KY
208600000X
Surgery Physician
Primary
47206
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000191916
BC/BS PIN #
KY
05
—
Q073499
—
TN
Enumeration date
08/15/2005
Last updated
05/02/2022
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