Individual
DR. ERICH EDWARD KOERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 251-5110
(425) 793-4707
Mailing address
PO BOX 59028, RENTON, WA 98058-2028
(425) 251-5110
(425) 793-4707
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60276987
WA
208M00000X
Hospitalist Physician
MD60276987
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2017452
—
WA
01
—
P01141101
MEDICARE RAILROAD
WA
Enumeration date
07/17/2009
Last updated
03/28/2013
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