Organization
KOEPPEN'S MEDICAL TRANSPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD KOEPPEN (OWNER)
(715) 823-5711
Entity
Organization
Contact information
Practice address
217 INDUSTRIAL AVE, CLINTONVILLE, WI 54929-1177
(715) 823-5711
Mailing address
217 INDUSTRIAL AVE, CLINTONVILLE, WI 54929-1177
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41419100
—
WI
Enumeration date
05/09/2007
Last updated
08/22/2020
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