Individual
MICHAEL H KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
612 S JEFFERSON ST, ST 300, ROANOKE, VA 24011
(540) 857-7748
(540) 857-6374
Mailing address
612 S JEFFERSON ST, ST 300, ROANOKE, VA 24011
(540) 857-7748
(540) 857-6374
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101033169
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5820456
—
VA
Enumeration date
09/02/2005
Last updated
05/16/2025
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