Individual
DR. MARY C KOENIGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10988 BARTEL BLVD, GALENA, IL 61036-8222
(815) 777-0900
(815) 777-0903
Mailing address
1500 ASSOCIATES DR, DUBUQUE, IA 52002
(563) 584-4100
(563) 584-4110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35713
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0422626
—
IA
Enumeration date
05/17/2006
Last updated
06/26/2015
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