Individual
DR. RAVEN A KOEPPLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4455 S 108TH ST, GREENFIELD HIGHLANDS HEALTH CENTER, MILWAUKEE, WI 53228-2504
(414) 427-5310
(414) 427-5311
Mailing address
4455 S 108TH ST, GREENFIELD HIGHLANDS HEALTH CENTER, MILWAUKEE, WI 53228-2504
(414) 427-5310
(414) 427-5311
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
51629
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346316239
—
WI
Enumeration date
11/24/2006
Last updated
03/04/2014
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