Individual
ANNE METRICK KOEHNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
720 W CHESTNUT ST, BLOOMINGTON, IL 61701-2814
(309) 557-1400
Mailing address
33 HAWKINS CIR, WHEATON, IL 60189-8463
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.034409
IL
Other
Enumeration date
07/06/2023
Last updated
01/18/2024
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