Organization
USHC GASTRO SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL K KOEHLER MD (PRESIDENT)
(440) 708-1515
Entity
Organization
Contact information
Practice address
8185 E WASHINGTON ST, SUITE 106, CHAGRIN FALLS, OH 44023-4574
(440) 708-1555
(440) 708-1515
Mailing address
8185 E WASHINGTON ST, SUITE 106, CHAGRIN FALLS, OH 44023-4574
(440) 708-1555
(440) 708-1515
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35062965
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0184812
—
OH
Enumeration date
04/15/2009
Last updated
04/15/2009
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