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Individual

JOAN M KOEWLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM PA

Contact information

Practice address
4157 CLARK RD, SARASOTA, FL 34233-2403
(941) 923-4999
(941) 923-4998
Mailing address
4157 CLARK RD, SARASOTA, FL 34233-2403
(941) 923-4999
(941) 923-4998

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO1696
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
480027804
RAIL ROAD MEDICARE
FL
01
87902
BCBS
FL
Enumeration date
06/13/2006
Last updated
12/26/2013
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