Individual
RIKKI MARIE KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
850 HARRISON AVE, BOSTON, MA 02118-4001
(617) 638-8934
(617) 414-4003
Mailing address
850 HARRISON AVE, BOSTON, MA 02118-4001
(617) 638-8934
(617) 414-4003
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
276444
MA
208600000X
Surgery Physician
125070731
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2017
Last updated
10/09/2018
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