Individual
STUART MARK KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
5873 NW 125TH TER, CORAL SPRINGS, FL 33076-3488
(954) 294-4039
(561) 300-8849
Mailing address
5873 NW 125TH TER, CORAL SPRINGS, FL 33076-3488
(954) 294-4039
(561) 300-8849
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0763
TX
Other
Enumeration date
03/08/2013
Last updated
03/08/2013
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