Individual
MRS. LAURA KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 MCMILLEN ST, FORT ATKINSON, WI 53538-1233
(920) 563-5571
(920) 563-7705
Mailing address
500 MCMILLEN ST, FORT ATKINSON, WI 53538-1233
(920) 563-5571
(920) 563-7705
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38038
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32420500
—
WI
Enumeration date
06/16/2005
Last updated
03/07/2023
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