Individual
ANNA LIESE KOOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5550 S EAST ST STE C, INDIANAPOLIS, IN 46227-1991
(317) 534-4660
Mailing address
11 TRAFALGAR SQ, TRAFALGAR, IN 46181-9515
(317) 680-9103
(317) 878-2355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5151013946
MI
Other
Enumeration date
05/31/2019
Last updated
06/27/2025
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