Individual
DESSIE KOEHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT(R) RDMS RVT
Contact information
Practice address
110 W. 2ND ST., SAINT PETER, IL 62880
(618) 339-1746
Mailing address
110 W. 2ND ST., SAINT PETER, IL 62880
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
147933
IL
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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