Individual
ERICH TSUOMU KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.
Contact information
Practice address
1 CHILDRENS PLZ, SPORTS MEDICINE, DAYTON, OH 45404-1873
(937) 641-4639
Mailing address
20 TECUMSEH ST, DAYTON, OH 45402-2841
(513) 265-8373
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002595
OH
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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