Individual
DANIEL K KOSCHTIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4200 DIVISION AVE N, COMSTOCK PARK, MI 49321-9546
(616) 252-3000
(616) 252-1666
Mailing address
5900 BYRON CENTER AVE SW, MEDICAL ADMINISTRATION, WYOMING, MI 49519-9606
(616) 252-3243
(616) 252-0260
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
DK001920
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
DK001920
MI
Other
Enumeration date
07/05/2006
Last updated
12/05/2017
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