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Individual

DR. DONALD JOHN KOEPSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D,O,

Contact information

Practice address
2698 N GALLOWAY AVE, SUITE 102, MESQUITE, TX 75150-6383
(972) 285-9394
(972) 270-7769
Mailing address
2698 N GALLOWAY AVE, SUITE 102, MESQUITE, TX 75150-6383
(972) 285-9394
(972) 270-7769

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
F8922
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
121853901
TX
Enumeration date
05/27/2005
Last updated
06/08/2011
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