Individual
JACOB KOEPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3821 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3600
(920) 208-9648
Mailing address
3821 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6293154
WI
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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