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Individual

DR. KOAN J HEINDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3800 EMBASSY PKWY, AKRON, OH 44333-8387
(330) 971-7571
(330) 255-5093
Mailing address
PO BOX 67070, CUYAHOGA FALLS, OH 44222-7070
(330) 971-7571

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
00000000000000
OH
207X00000X
Orthopaedic Surgery Physician
Primary
34.012592
OH
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
34.012592
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0448601
OH
Enumeration date
02/18/2015
Last updated
08/31/2021
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