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Individual

DR. JAMES WILLIAM KOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1925 WOODWINDS DR, WOODBURY, MN 55125-4445
(612) 232-0348
Mailing address
800 E 28TH ST # 11112, MINNEAPOLIS, MN 55407-3723
(612) 863-6590

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
261731
NY
207P00000X
Emergency Medicine Physician
Primary
56957
MN
207P00000X
Emergency Medicine Physician
67003-21
WI
207P00000X
Emergency Medicine Physician
70299
GA

Other

Enumeration date
06/03/2008
Last updated
11/06/2019
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