Individual
THOMAS HERBERT KOERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
87 THOMAS JOHNSON DR STE 101, FREDERICK, MD 21702-4427
(301) 694-0606
(301) 662-6928
Mailing address
87 THOMAS JOHNSON DR STE 101, FREDERICK, MD 21702-4427
(301) 694-0606
(301) 662-6928
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0084436
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
777187800
—
MD
Enumeration date
06/15/2005
Last updated
02/25/2020
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