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Individual

MARIE D. KOEHLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3998 RED LION RD, PHILADELPHIA, PA 19114-1436
(215) 612-4000
(215) 807-8235
Mailing address
PO BOX 8500-6335, PHILADELPHIA, PA 19178-0001
(215) 807-8000
(215) 807-8235

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
RN 9360702
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
RN506345L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3056444
AETNA CONTRACT
PA
01
430078471
RAILROAD MEDICARE
PA
01
9495005
CIGNA
PA
Enumeration date
07/17/2006
Last updated
07/09/2013
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