Individual
DR. CHRISTIAN E. KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3080 ACKERMAN BLVD STE 110, KETTERING, OH 45429-3559
(937) 293-5080
(937) 293-8820
Mailing address
3170 KETTERING BLVD BLDG B3, MORAINE, OH 45439-1924
(937) 991-3191
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-075086
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000770719
ANTHEM (REID PHYSICIAN ASSOCIATES)
—
01
—
01-05947
UNITED HEALTHCARE
OH
05
—
201063420
—
IN
05
—
2203378
—
OH
Enumeration date
10/03/2006
Last updated
09/18/2018
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