Individual
DR. MICHAEL DAVID KOERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
22201 MOROSS, PROFESSIONAL BUILDING II, SUITE 155, DETROIT, MI 48236
(313) 499-4775
(313) 499-4952
Mailing address
22201 MOROSS, PROFESSIONAL BUILDING II, SUITE 155, DETROIT, MI 48236
(313) 499-4775
(313) 499-4952
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS043703
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
05/25/2022
Last updated
05/13/2025
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