Individual
DR. STEVEN B KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25324
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000122S
HUMANA
—
05
—
1477504868
—
WI
01
—
180018689
RAILROAD MEDICARE
—
Enumeration date
05/12/2006
Last updated
03/04/2014
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