Individual
DR. THOMAS FREDERICK KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
24307 HARPER AVE, SAINT CLAIR SHORES, MI 48080-1271
(586) 775-6733
Mailing address
24307 HARPER AVE, SAINT CLAIR SHORES, MI 48080-1271
(586) 775-6733
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003134
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2308741
—
MI
Enumeration date
04/08/2010
Last updated
10/07/2014
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