Individual
DR. MICHAEL ANDREW KOEHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
325 OMAHA ST, SUITE 5, RAPID CITY, SD 57701-2803
(605) 718-5329
(605) 718-5334
Mailing address
325 OMAHA ST, SUITE 5, RAPID CITY, SD 57701-2803
(605) 718-5329
(605) 718-5334
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
750
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007238
BCBC PPO#
SD
01
—
192934800
DEPT. OF LABOR WORKCOMP #
SD
01
—
P00235015
RAILROAD MEDICARE #
SD
Enumeration date
12/07/2006
Last updated
06/11/2010
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