Individual
MATTHIAS W KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7007
Mailing address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7007
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101259317
VA
207LP3000X
Pediatric Anesthesiology Physician
0101259317
VA
Other
Enumeration date
05/03/2006
Last updated
02/22/2019
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