Individual
MARK KOENIG
Active
Individual
MARK KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
32261
TN
207RI0011X
Interventional Cardiology Physician
Primary
32261
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3330967
—
TN
01
—
6012068
BLUE CROSS-BLUE SHIELD
TN
01
—
P01376525
RR MEDICARE
TN
Enumeration date
06/03/2006
Last updated
08/02/2021
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