Individual
DAVID THOMAS KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9200 W WISCONSIN AVE # 1P, MILWAUKEE, WI 53226-3522
(414) 805-6450
Mailing address
8701 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(414) 805-6450
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
71835-21
WI
Other
Enumeration date
05/08/2018
Last updated
11/26/2019
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