Individual
MICA K NEWMAN-KOEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2303 S HIGHWAY 65, MARSHALL, MO 65340-3702
(660) 886-3364
(660) 886-6044
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 635-5264
(573) 556-5757
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R6H08
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202507307
—
MO
Enumeration date
06/04/2006
Last updated
12/17/2014
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