Individual
DR. RICHARD L KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 MERCY DR, DUBUQUE, IA 52001-7320
(563) 589-8000
Mailing address
PO BOX 745, DUBUQUE, IA 52004-0745
(800) 301-5085
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
22139
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1172320
—
IA
01
—
33150
WELLMARK BCBS
—
05
—
34315700
—
WI
01
—
50524
IOWA HEALTH SOLUTIONS
IA
Enumeration date
06/15/2006
Last updated
10/17/2007
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