Organization
JOAN M KOEWLER DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAN M KOEWLER DPM PA (OWNER)
(941) 923-4999
Entity
Organization
Contact information
Practice address
4157 CLARK RD, SARASOTA, FL 34233-2403
(941) 923-4999
(941) 923-4998
Mailing address
4157 CLARK RD, SARASOTA, FL 34233-2403
(941) 923-4999
(941) 923-4998
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 1696
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
317485300
CHAMPUS
FL
Enumeration date
12/26/2007
Last updated
08/12/2008
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