Individual
MARTIN A. KOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
4800 SAND POINT WAY NE, DIVISION OF UROLOGY W7729, SEATTLE, WA 98105-3901
(206) 987-5893
(206) 987-3925
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
MD00048989
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8502460
—
WA
Enumeration date
10/03/2006
Last updated
11/10/2021
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