Individual
JAMES MICHAEL KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20776 BRANTLEY RD, SHAKER HEIGHTS, OH 44122-1930
(216) 296-2108
Mailing address
20776 BRANTLEY RD, SHAKER HEIGHTS, OH 44122-1930
(216) 296-2108
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35054940
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0889150
—
OH
Enumeration date
02/17/2006
Last updated
03/26/2019
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