Individual
CLINT JEREMY KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
697 THOMAS LN, COLUMBUS, OH 43214-3931
(614) 566-5414
(614) 533-0433
Mailing address
5450 FRANTZ RD STE 360, DUBLIN, OH 43016-4141
(614) 533-6497
(614) 544-6370
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
246840-1
NY
207Q00000X
Family Medicine Physician
Primary
35085021
OH
Other
Enumeration date
11/18/2005
Last updated
01/25/2022
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