Individual
DR. ROBERT J KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 N DEWEY AVE, REEDSBURG, WI 53959-2214
(605) 524-6477
Mailing address
1900 N DEWEY AVE, REEDSBURG, WI 53959-2214
(605) 524-6477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23455
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30312800
—
WI
Enumeration date
09/13/2005
Last updated
07/08/2007
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