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Individual

DR. MARTIN A KOSCHNITZKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1760 E KEN PRATT BLVD # 201, LONGMONT, CO 80504-5311
(720) 718-8222
(720) 718-5986
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 586-2200
(970) 577-4536

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34193
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01252097
CO
Enumeration date
09/12/2005
Last updated
11/21/2024
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