Individual
DR. GAGE MICHAEL KOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
13197 STATE ROAD 23, GRANGER, IN 46530-9225
(574) 247-1500
(574) 247-1505
Mailing address
13197 STATE ROAD 23, GRANGER, IN 46530-9225
(574) 247-1500
(574) 247-1505
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004649A
IN
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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