Individual
DR. DOUGLAS HEIN KOELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
501 MAIN ST STE 2, REINBECK, IA 50669
(319) 345-6667
(319) 345-2449
Mailing address
501 MAIN ST STE 2, REINBECK, IA 50669
(319) 345-6667
(319) 345-2449
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
06330
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2150771
—
IA
Enumeration date
08/09/2006
Last updated
07/08/2007
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