Individual
WILLIAM MARKUS KOEPPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
225 CLARKSON RD, ELLISVILLE, MO 63011-2278
(706) 865-4001
(706) 865-6268
Mailing address
PO BOX 657, SUITE A, DEMOREST, GA 30535-0657
(660) 723-3915
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
076204
GA
207Q00000X
Family Medicine Physician
Primary
2022017094
MO
Other
Enumeration date
06/04/2013
Last updated
08/12/2022
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