Individual
STEVEN L. KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
Mailing address
1808 W BELTLINE HWY, MADISON, WI 53713-2334
(608) 250-1497
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4584-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245702828
—
WI
Enumeration date
12/20/2018
Last updated
12/03/2020
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