Individual
DON G KOEPSELL
Active
Individual
DON G KOEPSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PHD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD024428E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000103038
BLUE SHIELD
—
05
—
0008690260003
—
PA
01
—
0053163000
INDEPENDENCE BLUE CROSS
—
Enumeration date
08/18/2006
Last updated
02/14/2008
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