Individual
DR. GALEN ROY KOXLIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
19815 EAST GALE AVE, GALESVILLE, WI 54630-0715
(608) 582-4115
Mailing address
PO BOX 715, GATESVILLE, WI 54630-0715
(608) 582-4115
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5001711015
WI
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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