Individual
JAMES EDWARD KOELSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
867 51ST ST, CALEDONIA, WI 53108-9781
(262) 835-4931
Mailing address
867 51ST ST, CALEDONIA, WI 53108-9781
(262) 835-4931
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
112588-030
WI
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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