Individual
MARY ELIZABETH KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
730 W MARKET ST, LIMA, OH 45801-4667
(419) 227-3361
Mailing address
730 W MARKET ST, LIMA, OH 45801-4667
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.142827
OH
207P00000X
Emergency Medicine Physician
4301505606
MI
Other
Enumeration date
03/30/2018
Last updated
10/11/2021
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