Individual
THOMAS CHARLES KOEHNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
38818 730TH AVE, SAINT JAMES, MN 56081-4482
(507) 375-7321
Mailing address
38818 730TH AVE, SAINT JAMES, MN 56081-4482
(507) 375-7321
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
25673
MN
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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