Individual
MICHAEL KOOYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2649 W HORIZON RIDGE PKWY, 100, HENDERSON, NV 89052-4801
(702) 565-6641
(702) 565-9249
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 565-6641
(702) 565-9249
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0503
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100512730
—
NV
05
—
1487645370
—
NV
Enumeration date
10/31/2005
Last updated
02/14/2014
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