Individual
PAMELA M KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
920 WEST ST, BLDG B, PERU, IL 61354-2763
(815) 223-2944
(815) 223-4095
Mailing address
1305 6TH ST, PERU, IL 61354-2759
(815) 780-5029
(815) 223-4095
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209001206
IL
Other
Enumeration date
11/01/2006
Last updated
07/26/2011
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