Individual
DR. GINA M. KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1990 GODFREY DR, WAUPACA, WI 54981-7908
(715) 256-9616
(715) 256-9618
Mailing address
1990 GODFREY DR, WAUPACA, WI 54981-7908
(715) 256-9616
(715) 256-9618
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3449-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38902900
—
WI
Enumeration date
05/24/2006
Last updated
04/11/2022
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