Individual
HEATHER KOCH HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
210 NW BARSTOW ST STE 201, WAUKESHA, WI 53188-3771
(262) 548-6907
Mailing address
210 NW BARSTOW ST STE 201, WAUKESHA, WI 53188-3771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
68005
WI
Other
Enumeration date
03/24/2016
Last updated
09/13/2019
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